Healthcare Provider Details

I. General information

NPI: 1295410322
Provider Name (Legal Business Name): CITADEL PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 JAHN AVE NW STE E4
GIG HARBOR WA
98335-7997
US

IV. Provider business mailing address

5606 18TH ST NW
GIG HARBOR WA
98335-7527
US

V. Phone/Fax

Practice location:
  • Phone: 360-334-7197
  • Fax:
Mailing address:
  • Phone: 360-334-7197
  • 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: JAMAL WILLIAMS
Title or Position: CEO, FOUNDER
Credential: ARNP
Phone: 360-334-7197