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General NPI Number Information
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NPI Number | 1265309389
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Entity Type | Organization
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Legal Business Name | SAGE PSYCHIATRIC AND WELLNESS, PLLC
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 23211 SR-3 STE. C
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City | BELFAIR
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State | WA
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Zip | 98528
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Country | US
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Telephone | 253-948-7439
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Fax |
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Provider Business Mailing Address
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Address Line | 14580 NW HONEYHILL LOOP
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City | SEABECK
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State | WA
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Zip | 98380-9730
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Country | US
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Telephone | 360-551-0951
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MRS. LALINE RILEY
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Credential | PMHNP-BC
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Telephone | 360-551-0951
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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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