|
| |
|
9631 N Nevada St Ste 209 Spokane WA 99218-1197 | |
| (509) 362-1723 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9631 N Nevada St Ste 209, Spokane, Washington |
| Authorized Official Name and Position | Alyssa K Brudnicki (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5093621723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1609 E 8th Ave Spokane WA 99202-3405 Ph: (509) 362-1723 | 9631 N Nevada St Ste 209 Spokane WA 99218-1197 Ph: (509) 362-1723 |
| NPI Number | 1366116451 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366116451 | NPI | - | NPPES |
| LW61140343 | Other | WA | LICENSED INDEPENDENT CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Mide Integrative Therapies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 W Riverside Ave Ste 208, Spokane, WA 99201 Phone: 707-337-6721 | |
New Perspectives Behavior, Pllp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W Mission Ave Ste 245, Spokane, WA 99201 Phone: 509-590-0047 Fax: 509-590-1437 | |
Arc Professional Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6821 N Country Homes Blvd Ste 201, Spokane, WA 99208 Phone: 509-558-7559 | |
Lifebond Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 E 2nd Ave Ste 201, Spokane, WA 99202 Phone: 509-998-7115 |