Organization
SILVERDALE PSYCHIATRIC SERVICES LLC
Active
Organization
SILVERDALE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE HEINE LMHC (OWNER/PROVIDER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
7191 WAGNER WAY NW, SUITE 301, GIG HARBOR, WA 98335-6909
(253) 514-8076
(253) 514-8078
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LH00003850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH00003850
CAROLE'S MEDICAL LICENSE
WA
Enumeration date
07/14/2011
Last updated
07/14/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up