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

Mikkadesh Mental Healthcare LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1063120020

Mikkadesh Mental Healthcare LLC is a Psychiatric/Mental Health Nurse Practitioner in Puyallup, Washington. Registered with an NPI since 2022.

In the registry since
2022
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

12923 Emerald Ridge Blvd E
Puyallup, WA 98374-8403
Phone: (801) 649-7584
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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 number1063120020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Forchu — President/Administrator · (801) 649-7584
Other names Mikkadesh Mental Healthcare Llc
NPI enumeratedNovember 9, 2022
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address12923 Emerald Ridge Blvd E, Puyallup, WA 98374-8403

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