Healthcare Provider Details

I. General information

NPI: 1154022390
Provider Name (Legal Business Name): GROWTH AND HEALING PSYCHOLOGICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 BROADWAY STE 10096827
TACOMA WA
98402-3900
US

IV. Provider business mailing address

401 BROADWAY STE 10096827
TACOMA WA
98402-3900
US

V. Phone/Fax

Practice location:
  • Phone: 206-339-7327
  • Fax:
Mailing address:
  • Phone: 425-364-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHLEEN KING
Title or Position: PRESIDENT
Credential: PHD
Phone: 425-364-6604