# INNOVATIVE MENTAL HEALTH AND PAIN CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326495490
- **Authorized official:** MICHAEL J TEFFT (OWNER)
- **Authorized official phone:** (253) 358-3143

## Contact information

- **Practice address:** 1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
- **Practice address phone:** (253) 358-3143
- **Practice address fax:** (253) 514-6239
- **Mailing address:** 1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
- **Mailing address phone:** (253) 358-3143
- **Mailing address fax:** (253) 514-6239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP60521323 | WA | Yes |

## Other

- **Enumeration date:** 05/19/2016
- **Last updated:** 10/28/2024