Organization · Type 2 NPI
Holos Mental Healthcare LLC
Psychiatric/Mental Health Nurse Practitioner · Lakebay, WA
NPI number
1104613595
Active
Practice location
17713 Herron Rd NW
Lakebay, WA 98349-9808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1104613595
Holos Mental Healthcare LLC's National Provider Identifier is 1104613595, issued on Apr 21, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lakebay, WA. The record was last updated on Sep 30, 2025.