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

Holos Mental Healthcare LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1104613595

Holos Mental Healthcare LLC is a Psychiatric/Mental Health Nurse Practitioner in Lakebay, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17713 Herron Rd NW
Lakebay, WA 98349-9808
Phone: (253) 380-1248
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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 number1104613595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kate Teague — Credentialing · (360) 209-4216
NPI enumeratedApril 21, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address17713 Herron Rd Nw, Lakebay, WA 98349-9808

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