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Organization
OLYMPIA MENTAL HEALTH AND PSYCHIATRY PLLC
Active
Organization
OLYMPIA MENTAL HEALTH AND PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI HERZOG ARNP (OWNER)
(360) 447-8477
Entity
Organization
Contact information
Practice address
4405 7TH AVE SE, STE 200 - BMP 1133, LACEY, WA 98503-9850
(360) 447-8477
(360) 783-4475
Mailing address
4405 7TH AVE SE, STE 200 - BMP 1133, LACEY, WA 98503-1055
(360) 447-8477
(360) 783-4475
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
11/30/2024
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