# LOGICAL MENTAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1639882913
- **Authorized official:** FADUMO I OMAR ARNP-C (OWNER)
- **Authorized official phone:** (206) 250-7034

## Contact information

- **Practice address:** 4301 S PINE ST STE 30-12, TACOMA, WA 98409-9123
- **Practice address phone:** (206) 765-0592
- **Mailing address:** 4301 S PINE ST STE 30-12, TACOMA, WA 98409-9123
- **Mailing address phone:** (206) 765-0592

## 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:** 01/02/2023
- **Last updated:** 08/11/2023