1871119768 NPI number — PSYCHIATRIC NURSE CONSULTING & THERAPY, LLC

Table of content: (NPI 1871119768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871119768 NPI number — PSYCHIATRIC NURSE CONSULTING & THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PSYCHIATRIC NURSE CONSULTING & THERAPY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871119768
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 N 1ST ST STE 55
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNT VERNON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98273-2858
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-588-4950
Provider Business Mailing Address Fax Number:
360-873-8041

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
117 N 1ST ST STE 55
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98273-2858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-588-4950
Provider Business Practice Location Address Fax Number:
360-873-8041
Provider Enumeration Date:
06/17/2020

Additional Information

Authorized Official

Authorized Official Last Name:
BEHNER
Authorized Official First Name:
NIKKI
Authorized Official Middle Name:
Authorized Official Title or Position:
PROVIDER/OWNER
Authorized Official Telephone Number:
360-588-4950

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AP30001966 . This is a "ARNP WA STATE LICENSE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 0124374 . This is a "ANCC CERTIFICATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2146061 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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