| Taylor Grace Johnson, LMHC, NCC | |
|
5620 112th St E Ste 215, Puyallup, WA 98373-3206 | |
| (816) 262-0954 | |
| Not Available |
| Full Name | Taylor Grace Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5620 112th St E Ste 215, Puyallup, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881392140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61168589 (Washington) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20250226000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Grace Johnson, LMHC, NCC 5142 N Mance St, Tacoma, WA 98407-3322 Ph: (816) 262-0954 | Taylor Grace Johnson, LMHC, NCC 5620 112th St E Ste 215, Puyallup, WA 98373-3206 Ph: (816) 262-0954 |
Rashaun A Renggli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Brittney A Craig, M.A. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Meridian Ste 202, Puyallup, WA 98371 Phone: 206-595-2470 | |
Laurel M Holden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Michael A Pinatiello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Melissa D Romans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer Ave, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8392 | |
Rainy D Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8452 Fax: 253-697-3730 | |
Samantha Smith, LMHC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9811 126th St E, Puyallup, WA 98373 Phone: 253-208-1140 Fax: 253-243-2953 |