Healthcare Provider Details

I. General information

NPI: 1205746211
Provider Name (Legal Business Name): INCLUSIVE MENTAL HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 TACOMA AVE S
TACOMA WA
98402-2005
US

IV. Provider business mailing address

1115 TACOMA AVE S
TACOMA WA
98402-2005
US

V. Phone/Fax

Practice location:
  • Phone: 253-533-0726
  • Fax: 206-397-0958
Mailing address:
  • Phone: 253-533-0726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: AMBER SPENCER
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: ARNP
Phone: 253-533-0726