Organization
CRESCENT OUTPATIENT AND WELLNESS PLLC
Active
Other names
Crescent Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS REBEKAH VIGILEOS PMHNP (OWNER/PROVIDER)
(480) 434-9153
Entity
Organization
Contact information
Practice address
9725 SE 36TH ST STE 205, MERCER ISLAND, WA 98040-3840
(480) 434-9153
(206) 457-4533
Mailing address
9725 SE 36TH ST STE 205, MERCER ISLAND, WA 98040-3840
(480) 434-9153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
07/22/2023
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