LAKEWOOD WELLNESS CLINIC NPI 1134764509

NPI Information

NPI: 1134764509
Provider Name: LAKEWOOD WELLNESS CLINIC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
10310 GRAVELLY LAKE DR SW STE B
LAKEWOOD, WA
ZIP 98499
Phone: (253) 888-3405
Get Directions

LAKEWOOD WELLNESS CLINIC is a psychiatric/mental health nurse practitioner in Lakewood, WA. LAKEWOOD WELLNESS CLINIC NPI is 1134764509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10310 GRAVELLY LAKE DR SW STE B
LAKEWOOD, WA
ZIP 98499-014
Phone: (253) 888-3405

The provider's authorized official is Jennifer Rubio .
The authorized official title is Owner and has the following contact phone number (253) 208-3179.

The enumeration date for this NPI number is 11/8/2019 and was last updated on 11/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »