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General NPI Number Information
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NPI Number | 1104794890
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Entity Type | Organization
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Legal Business Name | PATHS TO MENTAL WELLNESS LLC
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Dates
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Enumeration Date | 10/25/2025
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 1404 NE 134TH ST STE 180-C
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City | VANCOUVER
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State | WA
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Zip | 98685-2799
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Country | US
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Telephone | 360-870-5757
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Fax | 832-336-3790
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Provider Business Mailing Address
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Address Line | 2210 W MAIN ST STE 107-223
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4236
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Country | US
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Telephone | 360-870-5757
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Fax | 832-336-3790
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL GARRISON
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Credential | PMHNP-BC
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Telephone | 360-907-1042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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