Organization
ERA OF RESTORATION MENTAL HEALTH SERVICES
Active
Other names
Era of Restoration Mental Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER O'NEAL (ADMINISTRATIVE MANAGER)
(425) 670-0280
Entity
Organization
Contact information
Practice address
4630 200TH ST SW STE C, LYNNWOOD, WA 98036-6608
(425) 670-0280
(425) 670-0278
Mailing address
4630 200TH ST SW STE C, LYNNWOOD, WA 98036-6608
(425) 670-0280
(425) 670-0278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
12/23/2022
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