Organization
MOVIN BEHAVIORAL HEALTH PLLC
Active
Other names
MoVin Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MADUOBI PMHNP (OWNER)
(360) 821-4302
Entity
Organization
Contact information
Practice address
14205 SE 36TH ST, BELLEVUE, WA 98006-1596
(360) 821-4302
Mailing address
14205 SE 36TH ST STE 100, BELLEVUE, WA 98006-1553
(832) 713-9170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206630
—
WA
Enumeration date
08/12/2022
Last updated
11/04/2024
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