INTELLECT PSYCHIATRY SERVICES PLLC NPI 1669195202

NPI Information

  • NPI: 1669195202
  • Provider Name: INTELLECT PSYCHIATRY SERVICES PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Former Legal Business Name: INTELLECT PSYCHIATRY SERVICES PLLC
  • Address: 6505 216TH ST SW STE 100
    MOUNTLAKE TERRACE, WA
    ZIP 98043
  • Phone: (469) 321-9543

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NPI Details

INTELLECT PSYCHIATRY SERVICES PLLC is a mental health (including community mental health center) clinic center in Mountlake Terrace, WA. INTELLECT PSYCHIATRY SERVICES PLLC NPI is 1669195202. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Intellect Psychiatry Services Pllc.

The provider's business location address is:

6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA
ZIP 98043-089
Phone: (469) 321-9543
Fax: (682) 227-2030

The provider's authorized official is Etienne Clement Poufong .
The authorized official title is Pmhnp and has the following contact phone number (469) 321-9543.

The enumeration date for this NPI number is 9/20/2022 and was last updated on 7/31/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

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

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