Healthcare Provider Details

I. General information

NPI: 1770498750
Provider Name (Legal Business Name): NESTED THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 4TH AVE E
OLYMPIA WA
98506-4017
US

IV. Provider business mailing address

1006 4TH AVE E
OLYMPIA WA
98506-4017
US

V. Phone/Fax

Practice location:
  • Phone: 877-463-7833
  • Fax:
Mailing address:
  • Phone: 877-463-7833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CASSIE ROUSE
Title or Position: BILLING SPECIALIST
Credential:
Phone: 877-463-7833