Provider Demographics
NPI:1881054195
Name:HUDSON, SYDNEY LAUREN (MA, LMHC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LAUREN
Last Name:HUDSON
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:LAUREN
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:223 N YAKIMA AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-2230
Mailing Address - Country:US
Mailing Address - Phone:253-651-0587
Mailing Address - Fax:
Practice Address - Street 1:223 N YAKIMA AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2230
Practice Address - Country:US
Practice Address - Phone:253-778-6460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-29
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60620391101YM0800X
WALH60972130101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health