Antares Wellness PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

MA60655160 Issued in WA

Legal business name

ANTARES WELLNESS PLLC

Doing business as

Antares Wellness

Practice address

9319 7TH Ave S
Seattle, WA 98108-4604

Phone

(206) 715-5265

NPI assigned

Feb 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amber Lashanna Williams, LMP

Title

Owner, Practioner

Phone

(206) 715-5265

Specialties & licenses 1

Addresses

Other names 1

• Antares Wellness Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1174061543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9319 7TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084604",
            "telephone_number": "206-715-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9319 7TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084604",
            "telephone_number": "206-715-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTARES WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMBER LASHANNA",
        "authorized_official_title_or_position": "OWNER, PRACTIONER",
        "authorized_official_telephone_number": "206-715-5265",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "MA60655160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antares Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mir Mohammad Ali Ansary
• Bereket Anshebo, RN
• Erin Elizabeth Anstadt, MD
• Mark Lewis Anstadt, ARNP
• Aria Anstey
• Marcos Antezana, M.D.
• Anthony T. Lovrovich, DDS, PS
• Ashley Marie Anthony, MA, LMFT
• Brooke Monet Anthony, ND
• Jessica Anthony, M.A., LMHCA

• Multi-Specialty Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.