# CRESCENT OUTPATIENT AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crescent Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841984119
- **Authorized official:** MISS REBEKAH VIGILEOS PMHNP (OWNER/PROVIDER)
- **Authorized official phone:** (480) 434-9153

## Contact information

- **Practice address:** 9725 SE 36TH ST STE 205, MERCER ISLAND, WA 98040-3840
- **Practice address phone:** (480) 434-9153
- **Practice address fax:** (206) 457-4533
- **Mailing address:** 9725 SE 36TH ST STE 205, MERCER ISLAND, WA 98040-3840
- **Mailing address phone:** (480) 434-9153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 07/09/2026