MIJA BRADSHAW SUDP
NPI 1053138404
Counselor - Addiction (Substance Use Disorder) in Lacey, WA

Q: What is Mija Bradshaw's NPI number?

The NPI number for Mija Bradshaw is 1053138404. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Q: What is Mija Bradshaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Mija Bradshaw was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2024

3925 8TH AVE SE STE A, LACEY, WA 98503(360) 923-9585(888) 310-1691 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mija Bradshaw Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIJA BRADSHAW SUDP (NPI 1053138404) is an individual addiction (substance use disorder) provider in Lacey, Washington, licensed in Washington (00003745) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1053138404

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMIJA BRADSHAWCredential: SUDP

Location Address3925 8TH AVE SE STE ALacey, WA 98503-1122

Mailing Address3925 8th Ave Se Ste ALacey, WA 98503-1122 · (360) 923-9585 · Fax (888) 310-1691

Phone(360) 923-9585

Fax(888) 310-1691

Sole ProprietorNo

Enumeration DateSeptember 25, 2024

NPPES CertifiedSeptember 25, 2024

✔ NPI 1053138404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · 00003745

3925 8TH AVE SE STE A, Lacey, WA 98503

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mija Bradshaw's NPI number?

The NPI number for Mija Bradshaw is 1053138404. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Mija Bradshaw located?

Mija Bradshaw practices at 3925 8th Ave SE Ste A, Lacey, WA 98503. The listed phone number is (360) 923-9585.

What is Mija Bradshaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mija Bradshaw was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.