1. Home
  2. Directory
  3. Washington
  4. Spokane Valley
  5. Counselor
  6. NPI Profile

TRACY L DANTZLER SUDP
NPI 1568004182
Counselor - Addiction (Substance Use Disorder) in Spokane Valley, WA

Active since October 15, 2019
10305 E MONTGOMERY DR, SPOKANE VALLEY, WA 99206(509) 418-2108(509) 315-9386 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2021, Oct 15, 2019 (2 updates tracked since 2019).

About Tracy L Dantzler Sudp NPPES

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

TRACY L DANTZLER SUDP (NPI 1568004182) is an individual addiction (substance use disorder) provider in Spokane Valley, Washington, licensed in Washington (CP00002768) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1568004182
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACY L DANTZLERCredential: SUDP
Location Address10305 E MONTGOMERY DRSpokane Valley, WA 99206-4220
Mailing Address101 E Magnesium Rd Ste 101Spokane, WA 99208-5901 · (509) 368-9021 · Fax (509) 474-1796
Phone(509) 418-2108
Fax(509) 315-9386
Sole ProprietorYes
Enumeration DateOctober 15, 2019
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
✔ NPI 1568004182 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 · CP00002768
10305 E MONTGOMERY DR, Spokane Valley, WA 99206
Open in Google Maps ↗

Other Names 1

Former Name (1)Tracy L Tucker Sudp

Other Providers at the Same Location NPPES 5

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

NARAYAN CHAUDHARY MD
Psychiatry & Neurology (Addiction Psychiatry)
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (253) 653-2943
CATHERINE KIRBY FLAGG
Counselor (Mental Health)
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (509) 873-4072
SEQUOIA DETOX CENTERS LLC
Substance Abuse Rehabilitation Facility
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (206) 605-2209
JOHN C HANSON SUDP-T
Counselor (Addiction (Substance Use Disorder))
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (206) 605-2209
AUDREY GRIMM ARNP
Nurse Practitioner (Psychiatric/Mental Health)
10305 E MONTGOMERY DR
SPOKANE VALLEY, WA 99206
Spokane County (509) 418-2108

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 Tracy Dantzler's NPI number?

The NPI number for Tracy Dantzler is 1568004182. It was assigned to this individual provider in the NPPES registry on October 15, 2019. The provider is also known as Tracy L Tucker Sudp.

Where is Tracy Dantzler located?

Tracy Dantzler practices at 10305 E Montgomery Dr, Spokane Valley, WA 99206. The listed phone number is (509) 418-2108.

What is Tracy Dantzler'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 Tracy Dantzler was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.