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NPI Code Detail

MEDICARE: ELROI MENTAL HEALTH SERVICES PLLC

MEDICARE: ELROI MENTAL HEALTH SERVICES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1821702481
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELROI MENTAL HEALTH SERVICES PLLC
Provider Business Mailing Address
First Line : 7836 RIVERVIEW CT SE
Second Line :
City : TUMWATER
State : WA
Zip : 98501-6804
Country : US
Telephone Number : 253-300-3303
Fax Number :
Provider Business Practice Location Address
First Line : 4405 7TH AVE SE STE 200-0501
Second Line :
City : LACEY
State : WA
Zip : 98503-1062
Country : US
Telephone Number : 253-300-3303
Fax Number : 253-300-2030
Authorized Official
Title or Position : OWNER/PROVIDER
Name : MARGIE WILLIAMS
Credential : PMHNP
Telephone Number : 253-300-3303
Provider Enumeration Date : 01/09/2023
Last Update Date : 05/15/2023

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Directions to “ELROI MENTAL HEALTH SERVICES PLLC ” Practice Location

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