NPI 1154987931 · live from the CMS NPI Registry
Advanced Wellness Mental Health, PLLC
Psychiatry & Neurology, Psychiatry in Maple Valley, WA. National Provider Identifier 1154987931, active.
NPI record
| NPI | 1154987931 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 26828 Maple Valley Highway, #202, Maple Valley, WA 98038 |
| Practice phone | 206-414-9060 |
| Enumerated | May 16, 2019 |
| Last updated | June 8, 2019 |
| Authorized official | Chandra Cogburn, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.