OLYMPIA MENTAL HEALTH AND PSYCHIATRY PLLC NPI 1164198628

NPI Information

OLYMPIA MENTAL HEALTH AND PSYCHIATRY PLLC is a mental health (including community mental health center) clinic center in Olympia, WA. OLYMPIA MENTAL HEALTH AND PSYCHIATRY PLLC NPI is 1164198628. The provider is registered as an organization entity type.

The provider's business location address is:

1314 GARRISON ST NE
OLYMPIA, WA
ZIP 98506-337
Phone: (360) 504-6110

The provider's authorized official is Shanti Herzog .
The authorized official title is Owner and has the following contact phone number (360) 584-8270.

The CLIA number assigned to this NPI record is 50D2229706 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/17/2021 and was last updated on 10/5/2021.

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:

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