Organization
HOLISTIC PSYCHIATRY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON KAITEI (PMHNP)
(469) 905-0655
Entity
Organization
Contact information
Practice address
12609 E 14TH AVE, SPOKANE VALLEY, WA 99216-0581
(469) 905-0655
Mailing address
3809 OCALA LN, MCKINNEY, TX 75070-0224
(469) 905-0655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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