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

Headspace Parking Lot PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1295417186

Headspace Parking Lot PLLC is a Psychiatric/Mental Health Nurse Practitioner in Elma, Washington. Registered with an NPI since 2023.

In the registry since
2023
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

76 Sund Rd
Elma, WA 98541-9119
Phone: (360) 929-0022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1295417186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chrystal Moore — Pmhnp · (757) 323-9104
NPI enumeratedAugust 1, 2023
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address76 Sund Rd, Elma, WA 98541-9119

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