Healthcare Provider Details

I. General information

NPI: 1407798606
Provider Name (Legal Business Name): TANDEM COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3223 ROBE MENZEL RD
GRANITE FALLS WA
98252-9428
US

IV. Provider business mailing address

3223 ROBE MENZEL RD
GRANITE FALLS WA
98252-9428
US

V. Phone/Fax

Practice location:
  • Phone: 425-366-9878
  • Fax:
Mailing address:
  • Phone: 425-366-9878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MADYSEN PRUSS
Title or Position: THERAPIST
Credential: LICSW
Phone: 425-366-9878