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LIGHT AND GLORY
NPI 1639048242
Counselor - Mental Health in Puyallup, WA

Active since November 03, 2025
102 23RD AVE SE STE A, PUYALLUP, WA 98372(253) 234-7185(253) 987-7223 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Light And Glory NPPES

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

LIGHT AND GLORY (NPI 1639048242) is a healthcare organization registered as a mental health in Puyallup, Washington and active in the NPI registry since November 2025. The organization lists Jessica Tate, Co-founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1639048242
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIGHT AND GLORY
Location Address102 23RD AVE SE STE APuyallup, WA 98372-4501
Mailing Address102 23rd Ave Se Ste APuyallup, WA 98372-4501 · (253) 234-7185 · Fax (253) 987-7223
Phone(253) 234-7185
Fax(253) 987-7223
Organization SubpartNo
Authorized OfficialJessica TateCo-founder/ceo · (808) 237-9320
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 2, 2025
✔ NPI 1639048242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
102 23RD AVE SE STE A, Puyallup, WA 98372
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MS. RAE KARIN MILLER M ED.
Counselor (Mental Health)
102 23RD AVE SE STE A
PUYALLUP, WA 98372
Pierce County (253) 987-5561
DEANNA SHARON BROWN LMFTA, CDPT
Counselor (Mental Health)
102 23RD AVE SE STE A
PUYALLUP, WA 98372
Pierce County (253) 987-5561
MELISSA LOWE
Counselor
102 23RD AVE SE STE A
PUYALLUP, WA 98372
Pierce County (253) 987-5561
ANGELA MEACH MA, LMHCA
Counselor (Mental Health)
102 23RD AVE SE STE A
PUYALLUP, WA 98372
Pierce County (253) 987-5561
AMANDA OSBORN
Marriage & Family Therapist
102 23RD AVE SE STE A
PUYALLUP, WA 98372
Pierce County (253) 987-5561
RUTH WAMUYU MUTA
Counselor (Mental Health)
102 23RD AVE SE STE A
PUYALLUP, WA 98372
Pierce County (253) 987-5561
SARAH POBLANO AMFT
Marriage & Family Therapist
102 23RD AVE SE STE A
PUYALLUP, WA 98372
Pierce County (253) 987-5561
AMY SCHULER
Counselor (Mental Health)
102 23RD AVE SE STE A
PUYALLUP, WA 98372
Pierce County (253) 987-5561

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 Light And Glory's NPI number?

The NPI number for Light And Glory is 1639048242. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Light And Glory located?

Light And Glory is located at 102 23rd Ave SE Ste A, Puyallup, WA 98372. The listed phone number is (253) 234-7185.

What is Light And Glory'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 Light And Glory was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.