Provider Demographics
NPI:1437832029
Name:SATCHER, KIERRA
Entity type:Individual
Prefix:
First Name:KIERRA
Middle Name:
Last Name:SATCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIERRA
Other - Middle Name:SHANEA
Other - Last Name:LENARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2213 S 96TH ST APT 811
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-1705
Mailing Address - Country:US
Mailing Address - Phone:253-348-7785
Mailing Address - Fax:
Practice Address - Street 1:9036 35TH AVE SW STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3821
Practice Address - Country:US
Practice Address - Phone:206-736-0584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106S00000X
171M00000X, 175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator