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Organization
CRESCENT OUTPATIENT AND WELLNESS PLLC
Active
Organization
CRESCENT OUTPATIENT AND WELLNESS PLLC
Active
Other names
Crescent Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS REBEKAH VIGILEOS PMHNP (OWNER/PROVIDER)
(480) 434-9153
Entity
Organization
Contact information
Practice address
9725 SE 36TH ST STE 205, MERCER ISLAND, WA 98040-3840
(480) 434-9153
(206) 457-4533
Mailing address
9725 SE 36TH ST STE 205, MERCER ISLAND, WA 98040-3840
(480) 434-9153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
07/09/2026
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