Provider Demographics
NPI:1699055624
Name:SUNDAY, SHAWNA L (LMHC)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:L
Last Name:SUNDAY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39740
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98496-3740
Mailing Address - Country:US
Mailing Address - Phone:253-433-0000
Mailing Address - Fax:
Practice Address - Street 1:707 S GRADY WAY STE 600
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3227
Practice Address - Country:US
Practice Address - Phone:253-433-0000
Practice Address - Fax:855-923-0890
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60591558101YA0400X
171000000X
WALH61023501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171000000XOther Service ProvidersMilitary Health Care ProviderGroup - Multi-Specialty