Organization
LAKE ASPEN INTEGRATIVE SERVICES
Active
Organization
LAKE ASPEN INTEGRATIVE SERVICES
Active
Other names
Lake Aspen Integrative Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SIMMONS LICSW (OWNER)
(509) 594-1867
Entity
Organization
Contact information
Practice address
1460 N 16TH AVE STE G, YAKIMA, WA 98902-7102
(509) 594-1867
(509) 575-7796
Mailing address
1460 N 16TH AVE STE G, YAKIMA, WA 98902-7102
(509) 594-1867
(509) 575-7796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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