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PENNY SULLIVAN CDP
NPI 1164643656
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since May 01, 2007
5915 ORCHARD ST W BLDG B, TACOMA, WA 98467(253) 473-7474(253) 474-9724 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penny Sullivan Cdp NPPES

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

PENNY SULLIVAN CDP (NPI 1164643656) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP00001128) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164643656
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePENNY SULLIVANCredential: CDP
Location Address5915 ORCHARD ST W BLDG BTacoma, WA 98467-3824
Mailing AddressPo Box 946Roy, WA 98580-0946 · (253) 843-2811
Phone(253) 473-7474
Fax(253) 474-9724
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164643656 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 · CP00001128
5915 ORCHARD ST W BLDG B, Tacoma, WA 98467
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES R HAND BA, CDP, DVP
Counselor (Addiction (Substance Use Disorder))
5915 ORCHARD ST W BLDG B
TACOMA, WA 98467
Pierce County (253) 473-7474
SHARON OWENS CDP
Counselor (Addiction (Substance Use Disorder))
5915 ORCHARD ST W BLDG B
TACOMA, WA 98467
Pierce County (253) 473-7474

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 Penny Sullivan's NPI number?

The NPI number for Penny Sullivan is 1164643656. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Penny Sullivan located?

Penny Sullivan practices at 5915 Orchard St W Bldg B, Tacoma, WA 98467. The listed phone number is (253) 473-7474.

What is Penny Sullivan'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 Penny Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.