Individual ProviderDaphne SumpterCounselorBehavioral Health & Social Service ProvidersPractice Address12040 NE 128th St, Ms-74, Kirkland, WA 98034-3013(425) 899-6300PECOS EnrollmentBased on the most recent information from CMS, provider Daphne Sumpter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1912340167Provider TypeIndividualFull NameSumpter, DaphneCredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date4/8/2013Last Updated4/8/2013Contact InformationPractice LocationPractice Address12040 NE 128th St, Ms-74, Kirkland, WA 98034-3013Phone(425) 899-6300FaxUnlisted FaxMailing LocationMailing Address12040 NE 128th St, Ms-74, Kirkland, WA 98034-3013Phone(425) 899-6300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH60169772Washington