Healthcare Provider Details

I. General information

NPI: 1932829942
Provider Name (Legal Business Name): TANDEM COUNSELING AND WELLNESS SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 FRONT ST
LYNDEN WA
98264-1819
US

IV. Provider business mailing address

815 GLENNING ST
LYNDEN WA
98264-1318
US

V. Phone/Fax

Practice location:
  • Phone: 360-548-7171
  • Fax:
Mailing address:
  • Phone: 360-548-7171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: YUANITA GITAMARA
Title or Position: OWNER
Credential:
Phone: 360-548-7171