Organization
ACCESS HOLISTIC CARE PLLC
Active
Other names
Affordable TMS & General Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
AYUB MWAURA PMHNP (PMHNP)
(919) 810-4436
Entity
Organization
Contact information
Practice address
4007 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4330
(253) 234-4199
(206) 594-6141
Mailing address
PO BOX 65512, TACOMA, WA 98464-1512
(253) 234-4199
(206) 594-6141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780354944
—
WA
Enumeration date
01/02/2023
Last updated
05/08/2023
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