# DEVELOP MINDED THERAPIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEVELOP MINDED THERAPIES HEALTH HOMES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730686445
- **Legal business name:** DEVELOP MINDED THERAPIES HEALTH HOMES
- **Authorized official:** MR. DATHAN LANE (OWNER)
- **Authorized official phone:** (253) 750-2664

## Contact information

- **Practice address:** 4040 S TYLER ST STE 9, TACOMA, WA 98409-2143
- **Practice address phone:** (253) 750-2664
- **Practice address fax:** (253) 215-4426
- **Mailing address:** 4040 S TYLER ST STE 9, TACOMA, WA 98409-2143
- **Mailing address phone:** (253) 750-2664
- **Mailing address fax:** (253) 215-4426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/09/2018
- **Last updated:** 08/24/2021