| Briar Rose Center, The Home Of Hope & Healing Pllc | |
|
11802 E Mansfield Ave Suite 1 Spokane Valley WA 99206-4788 | |
| (509) 496-2857 | |
| (509) 343-1622 |
| Full Name | Briar Rose Center, The Home Of Hope & Healing Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 11802 E Mansfield Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | Kimberly Cole (OWNER/MANAGER) |
| Authorized Official Contact | 5094962857 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Briar Rose Center, The Home Of Hope & Healing Pllc 11802 E Mansfield Ave Suite 1 Spokane Valley WA 99206-4788 Ph: (509) 496-2857 | Briar Rose Center, The Home Of Hope & Healing Pllc 11802 E Mansfield Ave Suite 1 Spokane Valley WA 99206-4788 Ph: (509) 496-2857 |
| NPI Number | 1437397627 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 02/11/2015 |
| Medicare PECOS PAC ID | 8628393022 |
|---|---|
| Medicare Enrollment ID | O20150205001810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437397627 | NPI | - | NPPES |
| 7142250 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 602686727 (Washington) | Primary |
| Provider Name | Kimberly L Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326211731 PECOS PAC ID: 0042399693 Enrollment ID: I20080528000270 |
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