Healthcare Provider Details

I. General information

NPI: 1063332344
Provider Name (Legal Business Name): SECOND SUN THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S RIDGEWOOD AVE
TACOMA WA
98405-3254
US

IV. Provider business mailing address

1221 S RIDGEWOOD AVE
TACOMA WA
98405-3254
US

V. Phone/Fax

Practice location:
  • Phone: 253-264-3909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHOBANA MURUGIAH
Title or Position: OWNER
Credential:
Phone: 253-264-3909