CRADLESTONE LLC NPI 1225532849

NPI Information

NPI: 1225532849
Provider Name: CRADLESTONE, LLC

Doing Business As: CRADLESTONE, LLC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
780 SE BAYSHORE DR # 201
OAK HARBOR, WA
ZIP 98277
Phone: (360) 682-5519
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CRADLESTONE, LLC is a mental health (including community mental health center) clinic center in Oak Harbor, WA. CRADLESTONE, LLC NPI is 1225532849. The provider is registered as an organization entity type.
The provider Is Doing Business As Cradlestone, Llc.

The provider's business location address is:

780 SE BAYSHORE DR # 201
OAK HARBOR, WA
ZIP 98277-701
Phone: (360) 682-5519

The provider's authorized official is Christopher John Wiegenstein .
The authorized official title is Ceo/counselor and has the following contact phone number (360) 682-5519.

The enumeration date for this NPI number is 3/20/2018 and was last updated on 3/20/2018.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	604194142	WASHINGTON	Yes
2	261QM0850X	Clinic/Center	Adult Mental Health	604194142	WASHINGTON	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	604194142	WASHINGTON	No

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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