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MIKEL CUMMINGS BOATMAN SUDP
NPI 1700065877
Counselor - Addiction (Substance Use Disorder) in Kennewick, WA

Active since October 25, 2007
415 N MORAIN ST, KENNEWICK, WA 99336(509) 735-6900(509) 735-6914 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mikel Cummings Boatman Sudp NPPES

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

MIKEL CUMMINGS BOATMAN SUDP (NPI 1700065877) is an individual addiction (substance use disorder) provider in Kennewick, Washington, licensed in Washington (CP60011890) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1700065877
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMIKEL CUMMINGS BOATMANCredential: SUDP
Location Address415 N MORAIN STKennewick, WA 99336-2667
Mailing Address415 N Morain StKennewick, WA 99336-2667 · (509) 735-6900 · Fax (509) 735-6914
Phone(509) 735-6900
Fax(509) 735-6914
Sole ProprietorNo
Enumeration DateOctober 25, 2007
Last NPPES UpdateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1700065877 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 · CP60011890
415 N MORAIN ST, Kennewick, WA 99336
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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.

CHRISTINE M BARTLETT
Counselor (Addiction (Substance Use Disorder))
415 N MORAIN ST
KENNEWICK, WA 99336
Benton County (509) 735-6900
MISS ALINA ALYZAY OLIVAREZ
Counselor (Addiction (Substance Use Disorder))
415 N MORAIN ST
KENNEWICK, WA 99336
Benton County (509) 735-6900
MRS. JOHANNA HABERLING-MANSFIELD BS, CDP
Counselor (Addiction (Substance Use Disorder))
415 N MORAIN ST
KENNEWICK, WA 99336
Benton County (509) 735-6900
EILEE ANDUJO
Counselor (Addiction (Substance Use Disorder))
415 N MORAIN ST
KENNEWICK, WA 99336
Benton County (509) 735-6900
REBECCA EWER
Clinic/Center (Rehabilitation, Substance Use Disorder)
415 N MORAIN ST
KENNEWICK, WA 99336
Benton County (509) 735-6900
CHRISTOPHER AUSTIN PARKER
Counselor (Addiction (Substance Use Disorder))
415 N MORAIN ST
KENNEWICK, WA 99336
Benton County (509) 735-6900
SHYLA JANE GODINEZ
Counselor (Addiction (Substance Use Disorder))
415 N MORAIN ST
KENNEWICK, WA 99336
Benton County (509) 735-6900
LIZBETH VILLA BADILLO
Counselor (Addiction (Substance Use Disorder))
415 N MORAIN ST
KENNEWICK, WA 99336
Benton County (509) 735-6900

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 Mikel Boatman's NPI number?

The NPI number for Mikel Boatman is 1700065877. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Where is Mikel Boatman located?

Mikel Boatman practices at 415 N Morain St, Kennewick, WA 99336. The listed phone number is (509) 735-6900.

What is Mikel Boatman'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 Mikel Boatman was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.