| Facets Of The Heart Counseling Llc | |
|
905 W Riverside Ave Ste 416 Spokane WA 99201-1099 | |
| (509) 589-2327 | |
| Not Available |
| Full Name | Facets Of The Heart Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 905 W Riverside Ave Ste 416, Spokane, Washington |
| Authorized Official Name and Position | Cameron R Hannah (OWNER) |
| Authorized Official Contact | 5095892327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Facets Of The Heart Counseling Llc 5317 S Palouse Hwy Apt G150 Spokane WA 99223-7802 Ph: (303) 319-5882 | Facets Of The Heart Counseling Llc 905 W Riverside Ave Ste 416 Spokane WA 99201-1099 Ph: (509) 589-2327 |
| NPI Number | 1548005648 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 2769913896 |
|---|---|
| Medicare Enrollment ID | O20241001000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548005648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cameron Rae Hannah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669949236 PECOS PAC ID: 3678004702 Enrollment ID: I20241001000805 |
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