Organization
GRAND MESA THERAPY WASHINGTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY SHOCKLEY (OWNER)
(970) 787-5100
Entity
Organization
Contact information
Practice address
610 S 12TH ST, BISMARCK, ND 58504-5910
(970) 787-5100
(970) 787-5100
Mailing address
610 S 12TH ST, BISMARCK, ND 58504-5910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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