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Active NPI 1710566237 Organization (Entity Type 2)

Eidens Therapy Group

Clinic/Center - Mental Health (Including Community Mental Health Center) • Maple Valley, WA

About Eidens Therapy Group NPI 1710566237 Summary

Eidens Therapy Group is a verified healthcare organization specializing in Clinic/Center - Mental Health (Including Community Mental Health Center) operating in Maple Valley, WA. Located at 23852 232ND CT SE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1710566237.

Administrative operations and authorized compliance are overseen by Jessica Eidens (Founder).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

23852 232nd Ct Se

Maple Valley, WA 980385216

Telephone 2535693256

Authorized Official Information

Authorized Contact Name

Jessica Eidens , LMHC

Title / Role

Founder

Official Telephone

2535693256

Facility Classifications & Specialties

Clinic/Center - Mental Health (Including Community Mental Health Center) Primary Taxonomy

NUCC Taxonomy Code: 261QM0801X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Counselor - Mental Health

Maple Valley, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active April 09, 2021

NPI status registered as active in NPPES database

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Updated Practice Location April 09, 2021

Registered at 23852 232ND CT SE, MAPLE VALLEY, WA 980385216 (Tel: 2535693256)

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Updated Business Mailing Address April 09, 2021

Registered at PO BOX 833, MAPLE VALLEY, WA 980380833

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Organization / Clinic Name Updated April 09, 2021

Operating as EIDENS THERAPY GROUP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2021

Clinic/Center

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Initial NPI Registration & Enumeration April 02, 2021

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1710566237
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 02, 2021
Last Update: April 09, 2021

Mailing Address

Po Box 833

Maple Valley, WA 980380833

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.