Provider Demographics
NPI:1043195407
Name:VOYAGE MENTAL HEALTH
Entity type:Organization
Organization Name:VOYAGE MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER//PHYSICIANS ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:ANNICE
Authorized Official - Last Name:DONELAN
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:605-593-2524
Mailing Address - Street 1:402 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-2902
Mailing Address - Country:US
Mailing Address - Phone:605-593-2524
Mailing Address - Fax:509-715-2115
Practice Address - Street 1:402 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-2902
Practice Address - Country:US
Practice Address - Phone:605-593-2524
Practice Address - Fax:509-715-2115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty