Provider Demographics
NPI:1689271223
Name:CHRISTY WEBSTER LEGLER, PMHNP-BC
Entity Type:Organization
Organization Name:CHRISTY WEBSTER LEGLER, PMHNP-BC
Other - Org Name:PNW MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ARNP, PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:WEBSTER
Authorized Official - Last Name:LEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, PMHNP-BC
Authorized Official - Phone:253-993-5353
Mailing Address - Street 1:PO BOX 98026
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98496-8026
Mailing Address - Country:US
Mailing Address - Phone:253-993-5353
Mailing Address - Fax:253-993-5354
Practice Address - Street 1:608 S G ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4625
Practice Address - Country:US
Practice Address - Phone:253-993-5353
Practice Address - Fax:253-993-5354
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:604658040
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-07
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)