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TATIYANA RENAE ROSE
NPI 1083259063
Counselor - Mental Health in Graham, WA

Active since November 13, 2019
21120 MERIDIAN AVE E, GRAHAM, WA 98338(253) 414-7461 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2020, Nov 13, 2019 (2 updates tracked since 2019).

About Tatiyana Renae Rose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATIYANA RENAE ROSE (NPI 1083259063) is an individual mental health provider in Graham, Washington, licensed in Washington (CG61022955) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1083259063
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTATIYANA RENAE ROSE
Location Address21120 MERIDIAN AVE EGraham, WA 98338-8254
Mailing Address21120 Meridian Ave EGraham, WA 98338-8254 · (253) 414-7461
Phone(253) 414-7461
Sole ProprietorNo
Enumeration DateNovember 13, 2019
Last NPPES UpdateJanuary 27, 20202 updates tracked since enumeration
✔ NPI 1083259063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · CG61022955
21120 MERIDIAN AVE E, Graham, WA 98338
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Other Names 1

Former Name (1)Tatiyana Renae Rose Wallace

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM MEDICAL CLINIC
Internal Medicine
21120 MERIDIAN AVE E
GRAHAM, WA 98338
Pierce County (253) 847-9166
ALONDRA RODRIGUEZ
Case Manager/Care Coordinator
21120 MERIDIAN AVE E
GRAHAM, WA 98338
Pierce County (253) 285-4750
MRS. KRISTINA VASSEL-SPARKS
Social Worker (Clinical)
21120 MERIDIAN AVE E
GRAHAM, WA 98338
Pierce County (253) 285-2213
FLORA TORRES GONZALEZ
Counselor (Addiction (Substance Use Disorder))
21120 MERIDIAN AVE E
GRAHAM, WA 98338
Pierce County (253) 285-4750
SARAH VITACCO
Student in an Organized Health Care Education/Training Program
21120 MERIDIAN AVE E
GRAHAM, WA 98338
Pierce County (253) 285-4750
ELIZABETH IMELDA MARTINEZ
Counselor
21120 MERIDIAN AVE E
GRAHAM, WA 98338
Pierce County (253) 285-4750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatiyana Rose's NPI number?

The NPI number for Tatiyana Rose is 1083259063. It was assigned to this individual provider in the NPPES registry on November 13, 2019. The provider is also known as Tatiyana Renae Rose Wallace.

Where is Tatiyana Rose located?

Tatiyana Rose practices at 21120 Meridian Ave E, Graham, WA 98338. The listed phone number is (253) 414-7461.

What is Tatiyana Rose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tatiyana Rose was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.