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Organization
EVERGREEN INTEGRATIVE PSYCHIATRY PLLC
Active
Organization
EVERGREEN INTEGRATIVE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGI HUME ARNP, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(360) 504-6072
Entity
Organization
Contact information
Practice address
1005 OLYMPIA AVE NE, OLYMPIA, WA 98506-4033
(360) 504-6072
(360) 282-0779
Mailing address
1005 OLYMPIA AVE NE, OLYMPIA, WA 98506-4033
(360) 504-6072
(360) 282-0779
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
05/19/2026
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