Healthcare Provider Details

I. General information

NPI: 1093691156
Provider Name (Legal Business Name): MARGARET MCLOUTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5702 N 26TH ST STE B
TACOMA WA
98407-2406
US

IV. Provider business mailing address

5702 N 26TH ST STE B
TACOMA WA
98407-2406
US

V. Phone/Fax

Practice location:
  • Phone: 231-818-0599
  • Fax:
Mailing address:
  • Phone: 253-292-1216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC.70171397
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: