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Contact Information

HIGHLAND CLINICAL SUPPORT, LLC
3400 HARBOR AVE SW STE 207
SEATTLE, WA98126-2396
 Phone: 206-290-5954
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Medical

363AM0700X 97 Physician Assistant
 

Mental Health

101YM0800X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HIGHLAND CLINICAL SUPPORT, LLC

NPI Number 1811528664
LBN Legal business name HIGHLAND CLINICAL SUPPORT, LLC
Authorized official KATHLEEN WRUK - (MEMBER MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2020
Last updated 01/30/2020 - About 6 years ago
Identifiers
WA Medicaid 1891740197
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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