Provider Demographics
NPI:1831874874
Name:GERIATRIC BEHAVIORAL HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:GERIATRIC BEHAVIORAL HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJWANT
Authorized Official - Middle Name:
Authorized Official - Last Name:KLER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:209-470-7774
Mailing Address - Street 1:33613 39TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98001-9565
Mailing Address - Country:US
Mailing Address - Phone:209-470-7774
Mailing Address - Fax:877-682-9319
Practice Address - Street 1:33613 39TH AVE S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98001-9565
Practice Address - Country:US
Practice Address - Phone:209-470-7774
Practice Address - Fax:877-682-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty