Organization Active NPI

Urban Refuge Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tacoma, WA
National Provider Identifier
1750254629
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
URBAN REFUGE THERAPY, LLC
Practice address
2550 Yakima Ave Unit a
Tacoma, WA 98405-3863
Phone
(253) 389-6353
NPI assigned
Sep 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mairut Wells, MSW, LSWAICNPI 1073391397
Title
Clinical Social Worker
Phone
(253) 389-6353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2550 Yakima Ave Unit a
Tacoma, WA 98405-3863

Mailing address

6308 52ND Ave W
University Place, WA 98467-3711
Phone (253) 389-6353

National Provider Directory

National Provider Directory

Locations

2550 Yakima Ave
Unit A
Tacoma, WA 98405
Phone (253) 389-6353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1750254629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 52ND AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673711",
            "telephone_number": "253-389-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 YAKIMA AVE UNIT A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053863",
            "telephone_number": "253-389-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN REFUGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MAIRUT",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "253-389-6353",
        "authorized_official_credential": "MSW, LSWAIC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.