Healthcare Provider Details

I. General information

NPI: 1225948854
Provider Name (Legal Business Name): ALYSA KATHLEEN MCGAHEE MSW, LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 S FIFE ST STE 301
TACOMA WA
98409-7309
US

IV. Provider business mailing address

6418 S 10TH ST APT 1109
TACOMA WA
98465-2055
US

V. Phone/Fax

Practice location:
  • Phone: 253-589-5334
  • Fax: 253-584-0770
Mailing address:
  • Phone: 913-558-9712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSWIA.SC.61569117
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: