# ULTIMATE PROFESSIONAL MENTAL HEALTH SERVICES CORP

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

## Provider details

- **NPI number:** 1154061513
- **Authorized official:** ANNABEL OWUSU NURSE PRACTITIONER (PMHNP)
- **Authorized official phone:** (614) 804-0866

## Contact information

- **Practice address:** 748 MARKET ST \# 135, TACOMA, WA 98402-3737
- **Practice address phone:** (832) 819-4378
- **Practice address fax:** (253) 954-3116
- **Mailing address:** 748 MARKET ST \# 135, TACOMA, WA 98402-3737
- **Mailing address phone:** (832) 819-4378
- **Mailing address fax:** (253) 954-3116

## 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:** 03/31/2022
- **Last updated:** 12/14/2022