Healthcare Provider Details

I. General information

NPI: 1881192573
Provider Name (Legal Business Name): THEONIE CHARNETHIA LABEE-WALKER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: THEONIE CHARNETHIA LABEE RN

II. Dates (important events)

Enumeration Date: 01/27/2018
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 6TH AVE STE 100
TACOMA WA
98405-3300
US

IV. Provider business mailing address

1914 WALNUT GREEN CIR
ROSENBERG TX
77471-1719
US

V. Phone/Fax

Practice location:
  • Phone: 253-318-9564
  • Fax:
Mailing address:
  • Phone: 253-318-9564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00173294
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN00173294
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number70032934
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: