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General NPI Number Information
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NPI Number | 1366397150
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Entity Type | Organization
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Legal Business Name | MIXTAPE MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 2450 MEYER ST
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City | DUPONT
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State | WA
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Zip | 98327-8712
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Country | US
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Telephone | 425-395-4845
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Fax |
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Provider Business Mailing Address
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Address Line | 4570 AVERY LN SE STE C PMB 9009
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City | LACEY
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State | WA
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Zip | 98503-5608
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Country | US
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Telephone | 425-395-4845
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATIE GASKINS
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Credential | LICSW
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Telephone | 425-395-4845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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