=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609525997
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THREE POINTS HEALING INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/22/2022
-----------------------------------------------------
Last Update Date | 04/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1010 S 336TH ST STE 205
-----------------------------------------------------
City | FEDERAL WAY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98003-7354
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-488-8211
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3435 MARTIN WAY E STE C
-----------------------------------------------------
City | OLYMPIA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98506-5071
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-488-8211
-----------------------------------------------------
Fax | 866-230-4506
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PROVIDER
-----------------------------------------------------
Name | JENNIFFER JANOWIECKI
-----------------------------------------------------
Credential | ARNP
-----------------------------------------------------
Telephone | 360-488-8201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------