KA'NYSHA LILLY
NPI 1497442578
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since April 19, 2023
3640 S CEDAR ST STE M, TACOMA, WA 98409(253) 478-0827 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ka'nysha Lilly NPPES

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

KA'NYSHA LILLY (NPI 1497442578) is an individual addiction (substance use disorder) provider in Tacoma, Washington and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1497442578
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKA'NYSHA LILLY
Location Address3640 S CEDAR ST STE MTacoma, WA 98409-5700
Mailing Address3640 S Cedar St Ste MTacoma, WA 98409-5700 · (253) 478-0827
Sole ProprietorNo
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1497442578 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
3640 S CEDAR ST STE M, Tacoma, WA 98409

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.

Counselor (Addiction (Substance Use Disorder))
3640 S CEDAR ST STE M
TACOMA, WA 98409
Internal Medicine (Addiction Medicine)
3640 S CEDAR ST STE M
TACOMA, WA 98409

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 Ka'nysha Lilly's NPI number?

The NPI number for Ka'nysha Lilly is 1497442578. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Ka'nysha Lilly located?

Ka'nysha Lilly practices at 3640 S Cedar St Ste M, Tacoma, WA 98409. The listed phone number is (253) 478-0827.

What is Ka'nysha Lilly'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 Ka'nysha Lilly was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.