Provider Demographics
NPI:1427805852
Name:SOLICITUDE INTEGRATED HEALTH PLLC
Entity type:Organization
Organization Name:SOLICITUDE INTEGRATED HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SAVATHDY
Authorized Official - Middle Name:
Authorized Official - Last Name:IM
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, PMHNP-BC, CARN
Authorized Official - Phone:206-453-9730
Mailing Address - Street 1:230 AUBURN WAY S STE 1B
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5451
Mailing Address - Country:US
Mailing Address - Phone:206-453-9730
Mailing Address - Fax:
Practice Address - Street 1:27115 MILITARY RD S STE A
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-7009
Practice Address - Country:US
Practice Address - Phone:253-374-7932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty