Provider Demographics
NPI:1831795905
Name:NABI BEHAVIORAL HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:NABI BEHAVIORAL HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:360-930-6535
Mailing Address - Street 1:713 WALTERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1423
Mailing Address - Country:US
Mailing Address - Phone:360-930-6535
Mailing Address - Fax:855-644-3001
Practice Address - Street 1:4660 NE 77TH AVE STE 308
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6705
Practice Address - Country:US
Practice Address - Phone:360-930-6535
Practice Address - Fax:855-644-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA604681415OtherPSYCHIATRIC MENTAL HEALTH