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MS. SHIRLENE KELLY SHIRLEY SUDP
NPI 1669943395
Counselor - Addiction (Substance Use Disorder) in Spokane, WA

Active since December 06, 2018
3710 N MONROE ST. RIVERSIDE RECOVERY CENTER, SPOKANE, WA 99205(509) 328-5234(509) 328-2358 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Dec 6, 2018 (2 updates tracked since 2018).

About Ms. Shirlene Kelly Shirley Sudp NPPES

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

MS. SHIRLENE KELLY SHIRLEY SUDP (NPI 1669943395) is an individual addiction (substance use disorder) provider in Spokane, Washington, licensed in Washington (CP60081248) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1669943395
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. SHIRLENE KELLY SHIRLEYCredential: SUDP
Location Address3710 N MONROE ST. RIVERSIDE RECOVERY CENTERSpokane, WA 99205
Mailing Address12715 E Mission AveSpokane Valley, WA 99216-1027 · (509) 323-5766 · Fax (509) 321-5472
Phone(509) 328-5234
Fax(509) 328-2358
Sole ProprietorNo
Enumeration DateDecember 6, 2018
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1669943395 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 · CP60081248
3710 N MONROE ST. RIVERSIDE RECOVERY CENTER, Spokane, WA 99205
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Other Identifiers 2

Medicaid2077844WA
Medicaid2118932WA

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 Shirlene Shirley's NPI number?

The NPI number for Shirlene Shirley is 1669943395. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Where is Shirlene Shirley located?

Shirlene Shirley practices at 3710 N Monroe St. Riverside Recovery Center, Spokane, WA 99205. The listed phone number is (509) 328-5234.

What is Shirlene Shirley'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 Shirlene Shirley was last updated on October 4, 2022. 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.