National Provider Identifier Database

MAGNOLIA PSYCHIATRY LLC
Addiction Psychiatry

Addiction Psychiatry is a subspecialty of psychiatry that 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.


Contact Information

MAGNOLIA PSYCHIATRY, LLC
12729 NORTHUP WAY STE 6
BELLEVUE, WA98005-1935
Phone: 425-467-1000
Fax: 425-467-0100
Website:
Specialty Taxonomy Code
* Addiction Psychiatry 2084P0802X

* Indicates primary specialty

NPI Profile & details for MAGNOLIA PSYCHIATRY, LLC

NPI Number 1003346594
Legal business name
LBN
MAGNOLIA PSYCHIATRY, LLC
Authorized official MARC PELLICCIARO - (PSYCHIATRIST)
Entity Organization
Organization subpart No
Enumeration date 06/15/2017
Last updated 04/17/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: MD00036813
  • WA Other: MD00036813 WASHINGTON STATE MEDICAL LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MAGNOLIA PSYCHIATRY, LLC

There are currently no reviews for MAGNOLIA PSYCHIATRY, LLC


NPIdb - Home
v2.201