ADVANCED WELLNESS MENTAL HEALTH, PLLC (NPI# 1154987931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154987931 |
| Entity Type | Organization |
| Organization Name | ADVANCED WELLNESS MENTAL HEALTH, PLLC |
| Practice Address |
26828 Maple Valley Highway #202 Maple Valley WA 98038-1262 |
| Practice Telephone | 2064149060 |
| Practice Fax Number | 8889773120 |
| Mailing Telephone | 2064149060 |
| Mailing Fax Number | 8889773120 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-06-08 |
| Authorized Official Name | CHANDRA KRISTI COGBURN (CEO) |
| Authorized Official Telephone | 2064149060 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9125 Bridgeport Way Sw Ste 102, Lakewood, WA 984992448 | 2064149060 | 8889773120 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ADVANCED WELLNESS MENTAL HEALTH, PLLC | 26828 Maple Valley Black Diamond Rd Se, #202, Maple Valley, WA 98038-8309 |
| Street Address |
26828 MAPLE VALLEY HIGHWAY #202 |
| City | MAPLE VALLEY |
| State | WA |
| Zip Code | 98038-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456357 | Ryan Koichi Taniguchi | Physical Therapist | 26837 Maple Valley Black Diamond Rd Se Ste 200, Maple Valley, WA 98038 | 2018-08-13 |
| 1841722311 | Michelle Atkinson | Behavior Technician | 26846 226th Pl Se, Maple Valley, WA 98038 | 2017-04-03 |
| 1285019828 | Blue River Counseling, LLC | Counselor | 22728 228th Avenue Se, Maple Valley, WA 98038 | 2015-07-24 |
| 1619356060 | Victoria Labrie | Specialist/Technologist | 24961 230th Pl Se, Maple Valley, WA 98038 | 2015-05-19 |
| 1114328523 | Scott Joseph Akers | Physical Therapist | 26837 Maple Valley Black Diamond Road, Suite 200, Maple Valley, WA 98038 | 2014-09-05 |
| 1487069647 | Thomas A. Holt Dds Pllc | Dentist | 27016 Maple Valley Black Diamond Road South East, Maple Valley, WA 98038 | 2014-06-26 |
| 1548515216 | Stirewalt PC | Dentist | 24040 Se Kent Kangley Rd, Suite E200, Maple Valley, WA 98038 | 2012-07-19 |
| 1124399183 | Samantha Halfen | Counselor | 26828 Maple Valley Hwy, Suite #152, Maple Valley, WA 98038 | 2012-01-24 |
| 1326336868 | Troy Aaron Nordyke | Physical Therapist | 26837 Maple Valley Highway, Suite 200, Maple Valley, WA 98038 | 2011-07-19 |
| 1598074510 | Luna Healthcare, LLC | Audiologist-Hearing Aid Fitter | 22010 Se 248th Street, Maple Valley, WA 98038 | 2010-09-27 |
| Find all providers in zip 98038 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952766 | Nvelup Telehealth Pllc | Psychiatry & Neurology | 804 N Monroe St Ste 502, Spokane, WA 99201-2110 | 2020-08-11 |
| 1609493105 | Voyager Behavioral Health Pllc | Psychiatry & Neurology | 1715 W Rain Ln, Spokane, WA 99208-5091 | 2020-06-30 |
| 1962027045 | Peter Lucas, Pllc | Psychiatry & Neurology | 10191 Ne Beach Crest Dr, Bainbridge Island, WA 98110-1368 | 2020-06-15 |
| 1285269449 | Helpprn Pllc | Psychiatry & Neurology | 7006 40th Ave Ne, Seattle, WA 98115-6006 | 2020-03-09 |
| 1700436367 | Danielle Roche Paschall | Psychiatry & Neurology | 102 23rd Ave Se Ste A, Puyallup, WA 98372-4501 | 2019-09-16 |
| 1396390845 | Penny Leah Tanner, P.s. | Psychiatry & Neurology | 7424 Bridgeport Way W Ste 302, Lakewood, WA 98499-8135 | 2019-08-01 |
| 1619449030 | Frances R Goldie | Psychiatry & Neurology | 7410 228th St Sw, Edmonds, WA 98026-8474 | 2018-12-24 |
| 1881162345 | Jillian Yoshimoto Do Pllc | Psychiatry & Neurology | 7100 132nd Pl Se Apt 106, Newcastle, WA 98059-3149 | 2018-11-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1720560436 | Erika Giraldo, Pllc | Psychiatry & Neurology | 19109 36th Ave W Ste 209, Lynnwood, WA 98036-5767 | 2018-08-30 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE VALLEY |
| Zip Code | 98038 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.