Whalio Doctors

NPI 1548849029

Enlivening Mental Health

Organisation Community/Behavioral Health Agency Yelm, WA

Practice location

Address
106 Plaza Dr SE Bldg B3, Yelm, WA 98597-8841
Phone
(253) 249-5991

Authorised official

Name
Traci Tolliver
Title
Executive Director; Therapist
Phone
(253) 249-5991

Registered specialties (5)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1548849029
Entity type
Organization
NPI issued
3 Apr 2021
Record last updated
3 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.