Healthcare Provider Details

I. General information

NPI: 1952215204
Provider Name (Legal Business Name): THE ORGANIC MIND COMPANY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15111 MAIN ST STE 208
MILL CREEK WA
98012-9034
US

IV. Provider business mailing address

4422 119TH PL SE
EVERETT WA
98208-9180
US

V. Phone/Fax

Practice location:
  • Phone: 425-236-8076
  • Fax:
Mailing address:
  • Phone: 425-236-8076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: GALIB SHEIKH
Title or Position: OWNER
Credential: LICSW
Phone: 425-236-8076