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DEOTILA LUCAS TAKULYABWANI
NPI 1760286793
Counselor - Mental Health in Lacey, WA

Active since April 01, 2025
4570 AVERY LN SE, LACEY, WA 98503(360) 464-7935 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deotila Lucas Takulyabwani NPPES

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

DEOTILA LUCAS TAKULYABWANI (NPI 1760286793) is an individual mental health provider in Lacey, Washington, licensed in Washington (61582811) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1760286793
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameDEOTILA LUCAS TAKULYABWANI
Location Address4570 AVERY LN SELacey, WA 98503-5608
Mailing Address26616 Webster Rd EGraham, WA 98338-7318 · (360) 402-5946
Phone(360) 464-7935
Sole ProprietorYes
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1760286793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · 61582811
4570 AVERY LN SE, Lacey, WA 98503
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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.

MCKENNA JOHNSON LMHCA
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935
PETRA ARMSTRONG LMHCA
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935
TERRENCE HUGHES
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935
CALENE MARIE BALTHAZAR-SUDA
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935
LAN N LE
Counselor (Mental Health)
4570 AVERY LN SE
LACEY, WA 98503
Thurston County (360) 464-7935

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 Deotila Takulyabwani's NPI number?

The NPI number for Deotila Takulyabwani is 1760286793. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Deotila Takulyabwani located?

Deotila Takulyabwani practices at 4570 Avery Ln SE, Lacey, WA 98503. The listed phone number is (360) 464-7935.

What is Deotila Takulyabwani's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Deotila Takulyabwani was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.