| Organization Name: | PSYCHIATRIC AND COUNSELING SERVICES OF OLYMPIA, PS |
| NPI Number: | 1013123629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL STARR KEITH (CEO) |
| Mailing Address: | 2114 Caton Way Sw # 201 Olympia |
| State: | WA US |
| Postal Code: | 985021105 |
| Phone Number: | 3607093332 |
| Fax Number: | 3607093336 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 05/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP30003632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |