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General NPI Number Information
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NPI Number | 1578420444
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Entity Type | Organization
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Legal Business Name | NEW LEAF PSYCHIATRIC CARE PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1700 COOPER POINT RD SW STE C4
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City | OLYMPIA
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State | WA
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Zip | 98502-1111
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Country | US
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Telephone | 360-918-3834
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11819
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City | OLYMPIA
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State | WA
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Zip | 98508-1819
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Country | US
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Telephone | 360-918-3834
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MADELINE LEE WOOD
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Credential | ARNP
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Telephone | 360-918-3834
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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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