Organization
ARCH BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA S HUBER LCSW (PROVIDER/OWNER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
1019 PACIFIC AVE, SUITE 1022, TACOMA, WA 98402-4443
(206) 228-3537
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60035034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60035034
MEDICAL LICENSE
WA
Enumeration date
09/20/2011
Last updated
09/20/2011
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