NPI 1164243689
Holistic Psychiatry Wellness
Practice location
- Address
- 12609 E 14th Ave, Spokane Valley, WA 99216-0581
- Phone
- (469) 905-0655
- Mailing address
- 3809 Ocala Ln, McKinney, TX 75070-0224
Authorised official
- Name
- Simon Kaitei
- Title
- Pmhnp
- Phone
- (469) 905-0655
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1164243689
- Entity type
- Organization
- NPI issued
- 17 Oct 2024
- Record last updated
- 17 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.