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CAROL ANNETTE LEAK
NPI 1780224360
Counselor - Addiction (Substance Use Disorder) in Tukwila, WA

Active since January 10, 2020
6450 SOUTHCENTER BLVD, TUKWILA, WA 98188(206) 466-5012(206) 453-4404 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2023, Jan 10, 2020 (2 updates tracked since 2020).

About Carol Annette Leak NPPES

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

CAROL ANNETTE LEAK (NPI 1780224360) is an individual addiction (substance use disorder) provider in Tukwila, Washington, licensed in Washington (CP61215945) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1780224360
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCAROL ANNETTE LEAK
Location Address6450 SOUTHCENTER BLVDTukwila, WA 98188-2552
Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 353-9494 · Fax (360) 353-9440
Phone(206) 466-5012
Fax(206) 453-4404
Sole ProprietorNo
Enumeration DateJanuary 10, 2020
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1780224360 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 · CP61215945
6450 SOUTHCENTER BLVD, Tukwila, WA 98188
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Other Identifiers 1

Medicaid2382777448NC

Other Providers at the Same Location NPPES

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

AMANDA NICOLE TORRES RN
Registered Nurse
6450 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 446-5410

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 Carol Leak's NPI number?

The NPI number for Carol Leak is 1780224360. It was assigned to this individual provider in the NPPES registry on January 10, 2020.

Where is Carol Leak located?

Carol Leak practices at 6450 Southcenter Blvd, Tukwila, WA 98188. The listed phone number is (206) 466-5012.

What is Carol Leak'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 Carol Leak was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.