Provider Demographics
NPI:1063154433
Name:MENTAL HEALTH FIRST, PLLC
Entity type:Organization
Organization Name:MENTAL HEALTH FIRST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:ANNELISE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSSWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-697-0883
Mailing Address - Street 1:18904 123RD PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-6682
Mailing Address - Country:US
Mailing Address - Phone:206-697-0883
Mailing Address - Fax:
Practice Address - Street 1:18904 123RD PL SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-6682
Practice Address - Country:US
Practice Address - Phone:206-697-0883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1982074209OtherNPI