MEDICARE: CALM WATERS THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669310561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALM WATERS THERAPY, LLC

Provider Business Mailing Address
First Line	:	1712 6TH AVE, STE 100 #5094
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405
Country	:	US
Telephone Number	:	253-343-1567
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 6TH AVE, STE 100 #5094
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405
Country	:	US
Telephone Number	:	253-343-1567
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NANCY J WATERS
Credential	:	LMFTA
Telephone Number	:	253-468-0963

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

Similar Medicare Providers

1932409422 — ERIC HO
Practice Location Address:

315 MARTIN LUTHER KING JR WAY
TACOMA, WA
98405-4234

Practice Phone: 253-403-5284
Practice Fax:

1548002728 — NICHELLE LAZETTE BUCHANAN
Practice Location Address:

610 SO. YAKIMA STREET
TACOMA, WA
98405

Practice Phone: 253-396-5800
Practice Fax:

1295283570 — GINA SURYUN KIM PHARM D
Practice Location Address:

315 MARTIN LUTHER KING JR WAY
TACOMA, WA
98405-4234

Practice Phone: 253-403-3139
Practice Fax:

1659723419 — MS. RISHIKA LAGISETTI STEPHENS
Practice Location Address:

315 MARTIN LUTHER KING JR WAY
TACOMA, WA
98405-4234

Practice Phone: 949-688-3306
Practice Fax:

1447677315 — CHRISTINE TAT DOUGLAS MD
Practice Location Address:

3209 S 23RD ST STE 170
TACOMA, WA
98405-1621

Practice Phone: 253-292-5107
Practice Fax:

1104205582 — LAUREN MICHAEL GJERTSEN PHARMD
Practice Location Address:

315 MARTIN LUTHER KING JR WAY
TACOMA, WA
98405-4234

Practice Phone: 253-403-2403
Practice Fax:

Directions to “CALM WATERS THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.