Healthcare Provider Details

I. General information

NPI: 1205745809
Provider Name (Legal Business Name): HIGHER PATH PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 46TH AVE APT 1H
ST PETE BEACH FL
33706-2565
US

IV. Provider business mailing address

1001 S MAIN ST STE 600
KALISPELL MT
59901-1498
US

V. Phone/Fax

Practice location:
  • Phone: 253-973-6204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA BALANSAY SYMES
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 253-973-6204