Healthcare Provider Details

I. General information

NPI: 1710808753
Provider Name (Legal Business Name): BAINBRIDGE MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 WYATT WAY NE STE 200
BAINBRIDGE ISLAND WA
98110-2873
US

IV. Provider business mailing address

271 WYATT WAY NE STE 200
BAINBRIDGE ISLAND WA
98110-2873
US

V. Phone/Fax

Practice location:
  • Phone: 206-580-3208
  • Fax: 206-360-1922
Mailing address:
  • Phone: 206-580-3208
  • Fax: 206-360-1922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITT T GONSOULIN
Title or Position: OWNER
Credential: MD, MPH
Phone: 206-580-3208