=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033938915
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AKIMMA WRIGHT DABREAU COUNSELING, DBA. HOPE GROWS COUNSELING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2024
-----------------------------------------------------
Last Update Date | 05/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1415 196TH ST E
-----------------------------------------------------
City | SPANAWAY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98387-8034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-628-3051
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1415 196TH ST E
-----------------------------------------------------
City | SPANAWAY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98387-8034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-628-3051
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER/OWNER
-----------------------------------------------------
Name | MR. DERRICK D'ABREAU
-----------------------------------------------------
Credential | LICSW
-----------------------------------------------------
Telephone | 360-628-3051
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------