Organization
BLUE MOUNTAIN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MACIAS (OWNER/NP)
(832) 377-5121
Entity
Organization
Contact information
Practice address
450 ALASKAN WAY S STE 200, SEATTLE, WA 98104-2785
(832) 377-5121
Mailing address
2002 TIMBERLOCH PL STE 200, SPRING, TX 77380-1182
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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