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ILLYANA DAVIS SUDP
NPI 1255808713
Counselor - Addiction (Substance Use Disorder) in Puyallup, WA

Active since November 01, 2018
325 E PIONEER, PUYALLUP, WA 98372(253) 697-8400(253) 697-8393 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Apr 29, 2019, Feb 20, 2019 and 1 more (4 updates tracked since 2018).

About Illyana Davis Sudp NPPES

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

ILLYANA DAVIS SUDP (NPI 1255808713) is an individual addiction (substance use disorder) provider in Puyallup, Washington, licensed in Washington (CP61032956) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1255808713
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameILLYANA DAVISCredential: SUDP
Location Address325 E PIONEERPuyallup, WA 98372-3265
Mailing Address1700 Airport Way SSeattle, WA 98134-1618 · (206) 223-3644
Phone(253) 697-8400
Fax(253) 697-8393
Sole ProprietorNo
Enumeration DateNovember 1, 2018
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1255808713 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 · CP61032956
325 E PIONEER, Puyallup, WA 98372
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Other Providers at the Same Location NPPES 20

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

RAINY D THOMPSON
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8452
REBECCA STOKER
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8400
JORDAN ASHLEY MCCANN M.A.
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8400
ALEXANDRA ISABEL MEEK MASTER SOCIAL WORKER
Social Worker (Clinical)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8400
CHANI TOAL
Counselor
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (888) 910-6300
MISS ROZA CATHRINA BOCKELMAN LICSW, CDP
Social Worker (Clinical)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 697-8400
AMANDA RENEE WATLING
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 445-8120
MARGARET A WOODS
Counselor
325 E PIONEER
PUYALLUP, WA 98372
Pierce County (253) 445-8120

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 Illyana Davis's NPI number?

The NPI number for Illyana Davis is 1255808713. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Illyana Davis located?

Illyana Davis practices at 325 E Pioneer, Puyallup, WA 98372. The listed phone number is (253) 697-8400.

What is Illyana Davis'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 Illyana Davis was last updated on October 11, 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.