Provider Demographics
NPI:1689886152
Name:MASTERY HEALTH & LEARNING CENTER, INC.
Entity Type:Organization
Organization Name:MASTERY HEALTH & LEARNING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIELA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MA
Authorized Official - Phone:425-869-8115
Mailing Address - Street 1:704 228TH AVE NE
Mailing Address - Street 2:PMB 141
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-7222
Mailing Address - Country:US
Mailing Address - Phone:425-869-8115
Mailing Address - Fax:
Practice Address - Street 1:7861 GILMAN ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4334
Practice Address - Country:US
Practice Address - Phone:425-869-8115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00007005101Y00000X
WARN00066093163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA546914OtherVALUE OPTIONS PROVIDER ID
WA2153PIOtherREGENCE RIDER NUMBER