IndividualActive
Avery Palms
NPI 1255045100 · Mental Health Clinic/Center (Including Community Mental Health Center) · Tacoma, WA
Provider details
- NPI number
- 1255045100
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1305 Tacoma Ave S Ste 305
Tacoma, WA 98402-1903
Phone: (253) 396-5800
Approximate (ZIP-level) locationGet directions
Mailing address
1305 Tacoma Ave S Ste 305
Tacoma, WA 98402-1903
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.