Provider Demographics
NPI:1275418881
Name:NUTURE MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:NUTURE MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-649-4309
Mailing Address - Street 1:8675 58TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-9077
Mailing Address - Country:US
Mailing Address - Phone:360-649-4309
Mailing Address - Fax:360-282-0700
Practice Address - Street 1:8675 58TH ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-9077
Practice Address - Country:US
Practice Address - Phone:360-649-4309
Practice Address - Fax:360-282-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty