MEDICARE: ORGAN MENTAL HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1861374472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORGAN MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	1425 DEXTER AVE N OFC 12
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-3534
Country	:	US
Telephone Number	:	580-969-0008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 DEXTER AVE N OFC 12
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-3534
Country	:	US
Telephone Number	:	580-969-0008
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN ORGAN
Credential	:	PMHNP-BC
Telephone Number	:	580-969-0008

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	07/23/2025

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