AMANECER MIND MEDICINE PLLC NPI 1962112508

NPI Information

NPI: 1962112508
Provider Name: AMANECER MIND MEDICINE PLLC

Doing Business As: AMANECER PSYCHIATRY

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
167 NE KAMIAKEN ST
PULLMAN, WA
ZIP 99163
Phone: (509) 330-6865
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AMANECER MIND MEDICINE PLLC is a mental health (including community mental health center) clinic center in Pullman, WA. AMANECER MIND MEDICINE PLLC NPI is 1962112508. The provider is registered as an organization entity type.
The provider Is Doing Business As Amanecer Psychiatry.

The provider's business location address is:

167 NE KAMIAKEN ST
PULLMAN, WA
ZIP 99163-611
Phone: (509) 330-6865

The provider's authorized official is Erik Bayona .
The authorized official title is Psychiatrist/owner and has the following contact phone number (509) 330-6865.

The enumeration date for this NPI number is 12/5/2022 and was last updated on 1/9/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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