Magnolia Psychiatry, Llc is a Addiction Psychiatry Clinic in Bellevue, Washington. It is located at 12729 Northup Way Ste 6, Bellevue, WA and its contact number is 425-467-1000. The authorized person for Magnolia Psychiatry, Llc is Marc David Pellicciaro
who is Psychiatrist of the clinic and his/her contact number is 425-467-1000. The primary license number for Magnolia Psychiatry, Llc is MD00036813 (Addiction Psychiatry) in Washington. Magnolia Psychiatry, Llc Clinic focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Complete Clinic Profile:
Magnolia Psychiatry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Magnolia Psychiatry, Llc
Specialization:
Addiction Psychiatry
Clinic Address:
12729 Northup Way Ste 6, Bellevue, Washington, 98005-1935
Phone:
425-467-1000
Fax:
425-467-0100
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Marc David Pellicciaro
Position:
Psychiatrist
Contact Number:
425-467-1000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Magnolia Psychiatry, Llc clinic are as mentioned below.
NPI Number:
1003346594
NPI Enumeration Date:
15 Jun, 2017
NPI Last Update On:
17 Apr, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Magnolia Psychiatry, Llc are as mentioned below.
Specialization
License Number
State
Status
Addiction Psychiatry
MD00036813
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
MD00036813
Other
Washington
Washington State Medical License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Magnolia Psychiatry, Llc Po Box 7239, Bellevue, Washington
Zip:
98008-1239
Phone Number:
425-467-1000
Fax Number:
425-467-0100
Patients can reach Magnolia Psychiatry, Llc at 12729 Northup Way Ste 6, Bellevue, Washington or can call to book an appointment on 425-467-1000. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.