Organization
DEVELOP MINDED THERAPIES
Active
Parent organization
DEVELOP MINDED THERAPIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVELOP MINDED THERAPIES
Authorized official
MR. DATHAN LANE (OWNER)
(253) 750-2664
Entity
Organization
Contact information
Practice address
4040 S TYLER ST STE 9, TACOMA, WA 98409-2143
(253) 750-2664
(253) 215-4426
Mailing address
4040 S TYLER ST STE 9, TACOMA, WA 98409-2143
(253) 750-2664
(253) 215-4426
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
Other
Enumeration date
04/10/2018
Last updated
08/24/2021
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