Healthcare Provider Details

I. General information

NPI: 1417877341
Provider Name (Legal Business Name): INNERPEACE COUNSELING HA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 121ST ST S
TACOMA WA
98444-5217
US

IV. Provider business mailing address

417 121ST ST S
TACOMA WA
98444-5217
US

V. Phone/Fax

Practice location:
  • Phone: 978-679-8999
  • Fax:
Mailing address:
  • Phone: 978-679-8999
  • 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: HEIDI ALT
Title or Position: LMHC
Credential:
Phone: 978-679-8999