Healthcare Provider Details

I. General information

NPI: 1518882646
Provider Name (Legal Business Name): RACHEL SUAIMHNEAS ED.S, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

402 S 58TH ST
TACOMA WA
98408-6435
US

IV. Provider business mailing address

402 S 58TH ST
TACOMA WA
98408-6435
US

V. Phone/Fax

Practice location:
  • Phone: 808-341-6111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number568233A
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSP0000001252625
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number20250012824
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: