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

Olympic Wellness PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1861225724

Olympic Wellness PLLC is a Psychiatric/Mental Health Nurse Practitioner in Lacey, Washington. 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

4313 6th Ave SE Ste C Attn: Harrison Detroja
Lacey, WA 98503
Phone: (360) 217-9425
Fax: (866) 522-6325
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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 number1861225724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harrison Detroja — Member · (360) 217-9425
NPI enumeratedAugust 24, 2024
Last updated in NPPESApril 13, 2025
Certification dateApril 13, 2025
Mailing address4313 6th Ave Se Ste C, Lacey, WA 98503-1072

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