Healthcare Provider Details

I. General information

NPI: 1144694001
Provider Name (Legal Business Name): THE CENTER FOR PSYCHOLOGICAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 S 336TH ST STE 200
FEDERAL WAY WA
98003-7394
US

IV. Provider business mailing address

909 S 336TH ST STE 200
FEDERAL WAY WA
98003-7394
US

V. Phone/Fax

Practice location:
  • Phone: 253-235-5956
  • Fax: 253-235-5957
Mailing address:
  • Phone: 253-235-5956
  • Fax: 253-235-5957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60134630
License Number StateWA

VIII. Authorized Official

Name: APRIL WALTER
Title or Position: OWNER
Credential: PSYD
Phone: 253-235-5956