MEDICARE: VICTORIA LINDSEY HUDSON LMHC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH61460596	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1679329502	OTHER	WA	GROUP NPI

General Provider Information

NPI Number	:	1871231746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA LINDSEY HUDSON LMHC, LPC

Provider Business Mailing Address
First Line	:	3639 SW CARDIFF ST
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98367-3001
Country	:	US
Telephone Number	:	360-780-0837
Fax Number	:	206-905-8412

Provider Business Practice Location Address
First Line	:	3639 SW CARDIFF ST
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98367-3001
Country	:	US
Telephone Number	:	360-831-0577
Fax Number	:	206-905-8412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2022
Last Update Date	:	12/16/2025

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