Organization · Type 2 NPI

Providence Health & Services Washington

Mental Health Clinic/Center (Including Community Mental Health Center) · Olympia, WA

NPI number 1023550050 Active

Practice location

225 State Ave NE
Olympia, WA 98501-6951

Call (360) 486-6400 Map

Mailing address

PO Box 31001-4110
Pasadena, CA 91110-4110

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	313007977 (WA)
Psychologist	103T00000X	313007977 (WA)
Clinical Psychologist	103TC0700X	313007977 (WA)
Social Worker	104100000X	313007977 (WA)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

3 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Olympia

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NPI record

NPI: 1023550050
Entity type: Organization (Type 2)
Issued: Nov 8, 2016
Last updated: May 13, 2025
Status: Active

Other names

<unavail>
Providence Community Care Center · doing business as
Providence Community Care Center · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary for Enrollment
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023550050

Providence Health & Services Washington's National Provider Identifier is 1023550050, issued on Nov 8, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Olympia, WA. The record was last updated on May 13, 2025.