# PAULENICH MENTAL HEALTH

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

## Provider details

- **NPI number:** 1972160265
- **Authorized official:** ARIEL PAULENICH (OWNER)
- **Authorized official phone:** (360) 296-3989

## Contact information

- **Practice address:** 2413 MAIN ST STE 204, FERNDALE, WA 98248-8827
- **Practice address phone:** (360) 296-3989
- **Mailing address:** PO BOX 3134, FERNDALE, WA 98248-3134
- **Mailing address phone:** (360) 296-3989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2019
- **Last updated:** 03/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2072909 | — | WA |