=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336009976
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SALAMA PSYCHIATRY AND COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/17/2025
-----------------------------------------------------
Last Update Date | 11/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 402 S 333RD ST STE 114
-----------------------------------------------------
City | FEDERAL WAY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98003-7099
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-418-5535
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 32429 50TH CT SW
-----------------------------------------------------
City | FEDERAL WAY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98023-1918
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-418-5535
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PMHNP/OWNER
-----------------------------------------------------
Name | HUSSEIN MAINGWA MBERWA
-----------------------------------------------------
Credential | ARNP, PMHNP
-----------------------------------------------------
Telephone | 315-418-5535
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------