Provider Demographics
NPI:1609409390
Name:PNW HAPPY HEALTHY, PLLC
Entity Type:Organization
Organization Name:PNW HAPPY HEALTHY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:QUYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:253-785-9367
Mailing Address - Street 1:4301 S PINE ST STE 30-07
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-9123
Mailing Address - Country:US
Mailing Address - Phone:253-785-9367
Mailing Address - Fax:253-281-4026
Practice Address - Street 1:4301 S PINE ST STE 30-07
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-9123
Practice Address - Country:US
Practice Address - Phone:253-785-9367
Practice Address - Fax:253-281-4026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health