Provider Demographics
NPI:1770466146
Name:MOTEN-HORTON, SYLVIONNA
Entity type:Individual
Prefix:
First Name:SYLVIONNA
Middle Name:
Last Name:MOTEN-HORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SW 330TH ST APT 1702
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-6147
Mailing Address - Country:US
Mailing Address - Phone:601-665-5110
Mailing Address - Fax:
Practice Address - Street 1:33455 6TH AVE S STE 2C
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6074
Practice Address - Country:US
Practice Address - Phone:253-210-4230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61651569101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health