KATIE'S WAY TACOMA LLC NPI 1285405522

NPI Information

NPI: 1285405522
Provider Name: KATIE'S WAY TACOMA, LLC
Classification: Psychiatry & Neurology - 2084B0040X
Specialization: Behavioral Neurology & Neuropsychiatry
Entity Type: Organization
Doing Business As: KATIES WAY
Address: 6704 TACOMA MALL BLVD STE 111
TACOMA, WA
ZIP 98409
Phone: (253) 260-3460

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NPI Details

KATIE'S WAY TACOMA, LLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Tacoma, WA. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. KATIE'S WAY TACOMA, LLC NPI is 1285405522. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Katies Way.

The provider's business location address is:

6704 TACOMA MALL BLVD STE 111
TACOMA, WA
ZIP 98409-001
Phone: (253) 260-3460
Fax: (253) 397-3443

The provider's authorized official is Kelly Rae Johnson .
The authorized official title is CREDENTIALING DIRECTORDirector and has the following contact phone number (785) 320-6616.

The enumeration date for this NPI number is 1/15/2024 and was last updated on 11/21/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	103G00000X	Clinical Neuropsychologist		No
3	103T00000X	Psychologist		No
4	103TB0200X	Psychologist	Cognitive & Behavioral	No
5	103TP0016X	Psychologist	Prescribing (Medical)	No
6	103TP0814X	Psychologist	Psychoanalysis	No
7	1041C0700X	Social Worker	Clinical	No
8	106H00000X	Marriage & Family Therapist		No
9	202D00000X	Integrative Medicine		No
10	207QA0505X	Family Medicine	Adult Medicine	No
11	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	Yes
12	2084P0015X	Psychiatry & Neurology	Psychosomatic Medicine	No

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: 11/21/2025

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