Organization
FULFILLED MIND & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STARLA HALVERSON ARNP, PMHNP-BC (OWNER)
(509) 833-4788
Entity
Organization
Contact information
Practice address
4117 S MERIDIAN, PUYALLUP, WA 98373-3697
(253) 648-0115
(253) 237-9314
Mailing address
4117 S MERIDIAN, PUYALLUP, WA 98373-3697
(253) 648-0115
(253) 237-9314
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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