Organization
RESILIENCE TELEPSYCHIATRY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEENAN SMITH NP (PMHNP)
(206) 249-7715
Entity
Organization
Contact information
Practice address
2105 112TH AVE NE STE 201, BELLEVUE, WA 98004-2945
(425) 968-5948
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(206) 249-7715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/22/2023
Last updated
07/23/2023
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