Provider Demographics
NPI:1932844685
Name:SOUNDPATH PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:SOUNDPATH PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KIRANJOT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, NP
Authorized Official - Phone:425-968-5948
Mailing Address - Street 1:2105 112TH AVE NE STE 201
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2945
Mailing Address - Country:US
Mailing Address - Phone:425-968-5948
Mailing Address - Fax:425-963-2768
Practice Address - Street 1:2105 112TH AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2945
Practice Address - Country:US
Practice Address - Phone:425-357-7248
Practice Address - Fax:425-963-2768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)