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STEPHANIE C TIDHOLM SUDPT
NPI 1710630082
Counselor in Seattle, WA

Active since January 27, 2022
2133 3RD AVE, SEATTLE, WA 98121(206) 223-1482 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2022, Jan 27, 2022 (2 updates tracked since 2022).

About Stephanie C Tidholm Sudpt NPPES

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

STEPHANIE C TIDHOLM SUDPT (NPI 1710630082) is an individual counselor in Seattle, Washington and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1710630082
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTEPHANIE C TIDHOLMCredential: SUDPT
Location Address2133 3RD AVESeattle, WA 98121-2385
Mailing Address2133 3rd AveSeattle, WA 98121-2385
Phone(206) 223-1482
Sole ProprietorYes
Enumeration DateJanuary 27, 2022
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1710630082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 101YA0400X (WA)
2133 3RD AVE, Seattle, WA 98121
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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.

CRISTIAN SANTOS
Counselor
2133 3RD AVE
SEATTLE, WA 98121
King County (206) 223-3644
MR. TRAVIS ROBINSON
Counselor
2133 3RD AVE
SEATTLE, WA 98121
King County (206) 432-4981
JAMICA JA'NET JENKINS
Counselor
2133 3RD AVE
SEATTLE, WA 98121
King County (206) 859-0114
CONNOR RYAN
Case Manager/Care Coordinator
2133 3RD AVE
SEATTLE, WA 98121
King County (206) 432-3574
TAYLOR ANNE INGRAM
Counselor
2133 3RD AVE
SEATTLE, WA 98121
King County (206) 971-8830
EMILY SELLERS
Counselor
2133 3RD AVE
SEATTLE, WA 98121
King County (206) 432-3574
MEGAN CANONICA
Counselor
2133 3RD AVE
SEATTLE, WA 98121
King County (206) 223-3644
NAOMI SMITH COUNSELOR
Counselor
2133 3RD AVE
SEATTLE, WA 98121
King County (206) 971-8830

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 Stephanie Tidholm's NPI number?

The NPI number for Stephanie Tidholm is 1710630082. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Stephanie Tidholm located?

Stephanie Tidholm practices at 2133 3rd Ave, Seattle, WA 98121. The listed phone number is (206) 223-1482.

What is Stephanie Tidholm's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Tidholm was last updated on August 2, 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.