PHYLLIS DEANE JOHNSON-HAYTE CDP
NPI 1417092842
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA
Active since February 21, 2007
About Phyllis Deane Johnson-hayte Cdp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYLLIS DEANE JOHNSON-HAYTE CDP (NPI 1417092842) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP00001004) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1417092842
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHYLLIS DEANE JOHNSON-HAYTECredential: CDP
Location Address2209 E 32ND STTacoma, WA 98404-4922
Mailing Address2030 E 35th StTacoma, WA 98404-4813 · (253) 396-1193 · Fax (253) 382-2091
Phone(253) 593-0232
Fax(253) 382-2091
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417092842 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00001004
2209 E 32ND ST, Tacoma, WA 98404
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417092842, enumerated as an "individual" on February 21, 2007.
The provider is located at 2209 E 32ND ST TACOMA, WA 98404 and the phone number is (253) 593-0232.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).