Healthcare Provider Details

I. General information

NPI: 1043177884
Provider Name (Legal Business Name): SUMMIT MIND PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 7TH AVE SE STE 200-1015
LACEY WA
98503-1062
US

IV. Provider business mailing address

795 COUNTY ROAD 44110
PARIS TX
75462-1298
US

V. Phone/Fax

Practice location:
  • Phone: 360-997-6463
  • Fax: 360-287-4249
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CLAIRE HINKLE
Title or Position: PMHNP-BC
Credential: PMHNP-BC
Phone: 214-497-1494