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
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
03/30/2025
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