Healthcare Provider Details

I. General information

NPI: 1588540538
Provider Name (Legal Business Name): ELIZONDO PSYCHIATRIC SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S LOUISIANA ST
KENNEWICK WA
99336-9002
US

IV. Provider business mailing address

30 S LOUISIANA ST
KENNEWICK WA
99336-9002
US

V. Phone/Fax

Practice location:
  • Phone: 509-975-2501
  • Fax: 509-463-4563
Mailing address:
  • Phone: 509-975-2501
  • Fax: 509-463-4563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRA ELIZONDO
Title or Position: NURSE PRACTITIONER
Credential: DNP, ARNP, PMHNP-BC
Phone: 509-975-2501