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HOLOS MENTAL HEALTHCARE LLC
NPI 1104613595
Nurse Practitioner - Psychiatric/Mental Health in Lakebay, WA

Active since April 21, 2025
17713 HERRON RD NW, LAKEBAY, WA 98349(253) 380-1248 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Holos Mental Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLOS MENTAL HEALTHCARE LLC (NPI 1104613595) is a healthcare organization registered as a psychiatric/mental health in Lakebay, Washington and active in the NPI registry since April 2025. The organization lists Kate Teague, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1104613595
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHOLOS MENTAL HEALTHCARE LLC
Location Address17713 HERRON RD NWLakebay, WA 98349-9808
Mailing Address17713 Herron Rd NwLakebay, WA 98349-9808
Phone(253) 380-1248
Organization SubpartNo
Authorized OfficialKate TeagueCredentialing · (360) 209-4216
Enumeration DateApril 21, 2025
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1104613595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
17713 HERRON RD NW, Lakebay, WA 98349
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Holos Mental Healthcare LLC's NPI number?

The NPI number for Holos Mental Healthcare LLC is 1104613595. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Holos Mental Healthcare LLC located?

Holos Mental Healthcare LLC is located at 17713 Herron Rd NW, Lakebay, WA 98349. The listed phone number is (253) 380-1248.

What is Holos Mental Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Holos Mental Healthcare LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.