MRS. BERNADETTE LACEY CRUZ
NPI 1548849888
Counselor - Mental Health in Centralia, WA
Active since April 05, 2021
About Mrs. Bernadette Lacey Cruz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BERNADETTE LACEY CRUZ (NPI 1548849888) is an individual mental health provider in Centralia, Washington and active in the NPI registry since April 2021.
NPPES Registry Identity
NPI1548849888
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. BERNADETTE LACEY CRUZ
Location Address2428 W REYNOLDS AVECentralia, WA 98531-4554
Mailing Address2428 W Reynolds AveCentralia, WA 98531-4554 · (360) 330-9044
Phone(915) 710-1366
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1548849888 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2428 W REYNOLDS AVE, Centralia, WA 98531
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
CENTRALIA, WA 98531
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548849888, enumerated as an "individual" on April 05, 2021.
The provider is located at 2428 W REYNOLDS AVE CENTRALIA, WA 98531 and the phone number is (915) 710-1366.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.