Healthcare Provider Details

I. General information

NPI: 1629985460
Provider Name (Legal Business Name): NIGHT FLOWER WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 WOODLAND SQUARE LOOP SE STE A5
LACEY WA
98503-1000
US

IV. Provider business mailing address

2105 BOUNDARY ST SE
OLYMPIA WA
98501-3032
US

V. Phone/Fax

Practice location:
  • Phone: 360-545-3451
  • Fax:
Mailing address:
  • Phone: 360-545-3451
  • 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: TASHA SLOAN
Title or Position: OWNER
Credential: LISCW
Phone: 360-545-3451