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

Q: What is Diverse Behavioral Health Clinic LLC's NPI number?

The NPI number for Diverse Behavioral Health Clinic LLC is 1073391041. It was assigned to this organization in the NPPES registry on September 20, 2023.

Q: What is Diverse Behavioral Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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: August 23, 2026.

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About Diverse Behavioral Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVERSE BEHAVIORAL HEALTH CLINIC LLC (NPI 1073391041) is a healthcare organization registered as a psychiatric/mental health in Olympia, Washington and active in the NPI registry since September 2023. The organization lists Dara Bernal, Owner, as its authorized official.

NPPES Registry Identity

NPI1073391041

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameDIVERSE BEHAVIORAL HEALTH CLINIC LLC

Location Address3516 7TH AVE SW STE AOlympia, WA 98502-5011

Mailing AddressPo Box 5482Lacey, WA 98509-5482 · (360) 533-3216

Phone(360) 533-3216

Organization SubpartNo

Authorized OfficialDara BernalOwner · (360) 533-3216

Enumeration DateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1073391041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

3516 7TH AVE SW STE A, Olympia, WA 98502

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diverse Behavioral Health Clinic LLC's NPI number?

The NPI number for Diverse Behavioral Health Clinic LLC is 1073391041. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Diverse Behavioral Health Clinic LLC located?

Diverse Behavioral Health Clinic LLC is located at 3516 7th Ave SW Ste A, Olympia, WA 98502. The listed phone number is (360) 533-3216.

What is Diverse Behavioral Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Diverse Behavioral Health Clinic LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Diverse Behavioral Health Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diverse Behavioral Health Clinic LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.