SELECT FAMILY CLINIC PLLC NPI 1184269839

NPI Information

NPI: 1184269839
Provider Name: SELECT FAMILY CLINIC PLLC

Doing Business As: SELECT MENTAL HEALTH

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
28002 STATE ROUTE 410 E STE 5
BUCKLEY, WA
ZIP 98321
Phone: (253) 470-8078
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SELECT FAMILY CLINIC PLLC is a psychiatric/mental health nurse practitioner in Buckley, WA. SELECT FAMILY CLINIC PLLC NPI is 1184269839. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Select Mental Health.

The provider's business location address is:

28002 STATE ROUTE 410 E STE 5
BUCKLEY, WA
ZIP 98321-516
Phone: (253) 470-8078
Fax: (253) 248-0139

The provider's authorized official is Maua W Swai .
The authorized official title is Nurse Practitioner and has the following contact phone number (253) 470-8078.

The CLIA number assigned to this NPI record is 50D2178834 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2019 and was last updated on 12/22/2023.

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	363LF0000X	Nurse Practitioner	Family			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

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