PATHS TO MENTAL WELLNESS LLC NPI 1104794890

NPI Information

  • NPI: 1104794890
  • Provider Name: PATHS TO MENTAL WELLNESS LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1404 NE 134TH ST STE 180-C
    VANCOUVER, WA
    ZIP 98685
  • Phone: (360) 870-5757

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NPI Details

PATHS TO MENTAL WELLNESS LLC is a psychiatric/mental health nurse practitioner in Vancouver, WA. PATHS TO MENTAL WELLNESS LLC NPI is 1104794890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1404 NE 134TH ST STE 180-C
VANCOUVER, WA
ZIP 98685-799
Phone: (360) 870-5757
Fax: (832) 336-3790

The provider's authorized official is Crystal Garrison .
The authorized official title is Owner and has the following contact phone number (360) 907-1042.

The enumeration date for this NPI number is 10/25/2025 and was last updated on 10/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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