MIKKADESH MENTAL HEALTHCARE LLC
NPI 1063120020
Nurse Practitioner - Psychiatric/Mental Health in Puyallup, WA
About Mikkadesh Mental Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKKADESH MENTAL HEALTHCARE LLC (NPI 1063120020) is a healthcare organization registered as a psychiatric/mental health in Puyallup, Washington and active in the NPI registry since November 2022. The organization lists Veronica Abeh Forchu, President/administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUYALLUP, WA 98374
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mikkadesh Mental Healthcare LLC's NPI number?
The NPI number for Mikkadesh Mental Healthcare LLC is 1063120020. It was assigned to this organization in the NPPES registry on November 9, 2022.
Where is Mikkadesh Mental Healthcare LLC located?
Mikkadesh Mental Healthcare LLC is located at 12923 Emerald Ridge Blvd E, Puyallup, WA 98374. The listed phone number is (801) 649-7584.
What is Mikkadesh Mental Healthcare LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
What insurance does Mikkadesh Mental Healthcare LLC accept?
Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Utah list Mikkadesh Mental Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mikkadesh Mental Healthcare LLC was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mikkadesh Mental Healthcare Llc · NPI 1063120020
Psychiatric/Mental Health organization in Puyallup, Washington. Organization record, active in the CMS NPPES registry since November 9, 2022.
## Identity
- **NPI:** 1063120020 (Entity type: Organization)
- **Enumerated:** November 9, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Mikkadesh Mental Healthcare LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Veronica Forchu, PRESIDENT/ADMINISTRATOR
## Practice location
- **Address:** 12923 EMERALD RIDGE BLVD E, Puyallup, WA 98374-8403
- **Phone:** (801) 649-7584
## Record status
- **NPPES last updated:** December 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063120020) · Data from the CMS NPPES public registry.