Healthcare Provider Details

I. General information

NPI: 1255539128
Provider Name (Legal Business Name): SHEILA M ADDISON PHD, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 AIRPORT WAY S STE 422
SEATTLE WA
98134-2173
US

IV. Provider business mailing address

PO BOX 16745
SEATTLE WA
98116-0745
US

V. Phone/Fax

Practice location:
  • Phone: 510-599-5467
  • Fax:
Mailing address:
  • Phone: 510-599-5467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number61067042
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1897-MH-MF
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT3610
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2765
License Number StateCT
# 5
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number49616
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: