Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grassroot Psychiatry and Mental Health Clinic PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1801625926

Grassroot Psychiatry and Mental Health Clinic PLLC is a Psychiatric/Mental Health Nurse Practitioner in Seattle, Washington. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone: (682) 453-6176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2100 N Hwy 360, Grand Prairie, TX 75050-1011 — (682) 214-0636

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1801625926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martina Ezigbo — Administrator · (346) 220-3534
NPI enumeratedJuly 29, 2024
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address2100 N Hwy 360, Grand Prairie, TX 75050-1011

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