Healthcare Provider Details

I. General information

NPI: 1851277495
Provider Name (Legal Business Name): CALM IN THE WILDERNESS MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 9TH ST SW STE 205
PUYALLUP WA
98373-5946
US

IV. Provider business mailing address

PO BOX 731915
PUYALLUP WA
98373-0045
US

V. Phone/Fax

Practice location:
  • Phone: 760-881-5999
  • Fax: 442-255-1126
Mailing address:
  • Phone: 442-348-3822
  • Fax: 442-255-1126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANTHONIE ONTREAY ETIENNE
Title or Position: CEO/LMFT
Credential: MA, MMIN, MDIV
Phone: 760-881-5559