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Organization

CRESCENT OUTPATIENT AND WELLNESS PLLC

Active
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Organization

CRESCENT OUTPATIENT AND WELLNESS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBEKAH VIGILEOS PMHNP (CEO)
(480) 434-9153
Entity
Organization

Contact information

Practice address
9725 SE 36TH ST STE 205, MERCER ISLAND, WA 98040-3840
(425) 495-0727
Mailing address
9725 SE 36TH ST STE 205, MERCER ISLAND, WA 98040-3840
(425) 495-0727

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
03/01/2023
Last updated
07/09/2026
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