Skylark Behavioral Health, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SKYLARK BEHAVIORAL HEALTH, PLLC

Practice address

300 Lenora St # 957
Seattle, WA 98121-2411

Phone

(206) 424-8098

Fax

(206) 424-8099

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Ashley Leinani Bolan, ARNP

Title

Owner and Provider

Phone

(206) 424-8098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1801406624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LENORA ST # 957",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212411",
            "telephone_number": "206-424-8098",
            "fax_number": "206-424-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LENORA ST # 957",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212411",
            "telephone_number": "206-424-8098",
            "fax_number": "206-424-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLARK BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "BOLAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "LEINANI",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "206-424-8098",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Skurikhina
• Jillian Sky-Tucker, MA
• Madrone Karin Sky, LMT
• Nuvo Sara Sky
• Akasha Skye
• Skyler BW Schubel DMD PLLC
• Catherine Best Slack, ARNP
• Katherine Slack
• Renata J Slack
• Stephen F Slack, M.D.

• Adult Mental Health Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.