Headspace Parking Lot Pllc
NPI #1295417186 in Elma, Washington
Provider Information
- NPI Number
- 1295417186
- Entity Type
- Organization
- Organization Name
- Headspace Parking Lot Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Aug 1, 2023
- Last Updated
- Nov 1, 2024
Practice Location
- Address
- 76 SUND RD
- City
- Elma
- State
- Washington
- ZIP Code
- 98541-9119
- Phone
- (360) 929-0022
Authorized Official
- Name
- CHRYSTAL G MOORE, ARNP
- Title
- PMHNP
- Phone
- (757) 323-9104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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