Healthcare Provider Details

I. General information

NPI: 1821937277
Provider Name (Legal Business Name): 3 HORIZONS MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 SLEATER KINNEY RD SE
LACEY WA
98503-2316
US

IV. Provider business mailing address

1210 SLEATER KINNEY RD SE
LACEY WA
98503-2316
US

V. Phone/Fax

Practice location:
  • Phone: 253-228-5757
  • Fax: 360-252-6557
Mailing address:
  • Phone:
  • Fax: 360-252-6557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DANIELA BONELLO
Title or Position: MEMBER
Credential:
Phone: 253-228-5757