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PUYALLUP TRIBAL HEALTH AUTHORITY NPI 1255378782


NPI Information

NPI: 1255378782
Provider Name: PUYALLUP TRIBAL HEALTH AUTHORITY

Other Name: KWAWACHEE COUNSELING CENTER

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2209 E 32ND ST
TACOMA, WA
ZIP 98404
Phone: (253) 593-0232
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PUYALLUP TRIBAL HEALTH AUTHORITY is an adult mental health clinic center in Tacoma, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PUYALLUP TRIBAL HEALTH AUTHORITY NPI is 1255378782. The provider is registered as an organization entity type.
The provider Other Name Is Kwawachee Counseling Center.

The provider's business location address is:

2209 E 32ND ST
TACOMA, WA
ZIP 98404
Phone: (253) 593-0232
Fax: (253) 382-2091

The provider's authorized official is Chris Henry .
The authorized official title is Executive Director and has the following contact phone number (253) 593-0232.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 7/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11980762MEDICAIDWASHINGTON
2366486002OTHERWASHINGTONGROUP HEALTH OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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