# NOVIS INITIIS PSYCHOTHERAPY PLLC

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

## Provider details

- **NPI number:** 1770415960
- **Authorized official:** DR. DOUGLAS ALLAN GRAVES PSYD (PSYCHOLOGIST / CO-OWNER)
- **Authorized official phone:** (720) 295-5853

## Contact information

- **Practice address:** 717 NE 61ST ST STE 206, VANCOUVER, WA 98665-8753
- **Practice address phone:** (720) 295-5853
- **Practice address fax:** (866) 466-5083
- **Mailing address:** PO BOX 1864, VANCOUVER, WA 98668-1864
- **Mailing address phone:** (720) 295-5853
- **Mailing address fax:** (866) 466-5083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 102L00000X | Psychoanalyst | — | NULL | — |
| 102L00000X | Psychoanalyst | — | — | — |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 103TF0000X | Family Psychologist | — | NULL | — |
| 103TF0000X | Family Psychologist | — | — | — |

## Other

- **Enumeration date:** 06/01/2026
- **Last updated:** 06/01/2026