Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Light and Glory

Organization Mental Health Counselor · NPI 1639048242

Light and Glory is a Mental Health Counselor in Puyallup, Washington. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

102 23rd Ave SE Ste A
Puyallup, WA 98372-4501
Phone: (253) 234-7185
Fax: (253) 987-7223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1639048242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Tate — Co-Founder/Ceo · (808) 237-9320
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 2, 2025
Mailing address102 23rd Ave Se Ste A, Puyallup, WA 98372-4501

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