Organization
LAKEVIEW MENTAL HEALTH
Active
Other names
Constellations Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA JAMIE PALES ARNP (CEO)
(425) 903-8911
Entity
Organization
Contact information
Practice address
6100 219TH ST SW STE 480, MOUNTLAKE TERRACE, WA 98043-2222
(425) 903-8911
Mailing address
6100 219TH ST SW STE 480, MOUNTLAKE TERRACE, WA 98043-2222
(425) 903-8911
(425) 502-9097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598205924
NPI
WA
Enumeration date
06/19/2020
Last updated
10/31/2024
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