DIVERSE BEHAVIORAL HEALTH CLINIC LLC
NPI 1073391041
Nurse Practitioner - Psychiatric/Mental Health in Olympia, WA

Active since September 20, 2023
3516 7TH AVE SW STE A, OLYMPIA, WA 98502(360) 533-3216 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance

About DIVERSE BEHAVIORAL HEALTH CLINIC LLC

This page provides the complete NPI Profile along with additional information for Diverse Behavioral Health Clinic Llc, a provider established in Olympia, Washington operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1073391041 assigned on September 2023. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dara Bernal (Owner)

NPI
1073391041 Verify this NPI
Provider Name
DIVERSE BEHAVIORAL HEALTH CLINIC LLC
Entity Type
Organization
Location Address
3516 7TH AVE SW STE A OLYMPIA, WA 98502
Location Phone
(360) 533-3216
Mailing Address
PO BOX 5482 LACEY, WA 98509
Mailing Phone
(360) 533-3216
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2023
Last Update Date
09-20-2023
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A nurse practitioner (NP) like Diverse Behavioral Health Clinic Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DARA BERNAL

Authorized Official Title
OWNER
Authorized Official Phone
(360) 533-3216

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073391041, enumerated as an "organization" on September 20, 2023.

The provider is located at 3516 7TH AVE SW STE A OLYMPIA, WA 98502 and the phone number is (360) 533-3216.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.