# MOUNTAIN PEAK MENTAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043855471
- **Authorized official:** MARLA BRUCKEN ARNP (PSYCHIATRIC ARNP/MANAGING MEMBER)
- **Authorized official phone:** (425) 620-3072

## Contact information

- **Practice address:** 1424 NE 155TH ST STE 205, SHORELINE, WA 98155-7104
- **Practice address phone:** (425) 620-3072
- **Mailing address:** 12345 LAKE CITY WAY NE \# 422, SEATTLE, WA 98125-5401
- **Mailing address phone:** (425) 620-3072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2019
- **Last updated:** 11/14/2024