| Love Empowering Life, Pllc. | |
|
14 N Grady Ln Spokane Valley WA 99016-8610 | |
| (509) 919-8703 | |
| (833) 806-2524 |
| Full Name | Love Empowering Life, Pllc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14 N Grady Ln, Spokane Valley, Washington |
| Authorized Official Name and Position | Krystyl Miyamoto (OWNER- CLINICIAN) |
| Authorized Official Contact | 5099198703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Empowering Life, Pllc. 14 N Grady Ln Spokane Valley WA 99016-8610 Ph: (509) 609-6731 | Love Empowering Life, Pllc. 14 N Grady Ln Spokane Valley WA 99016-8610 Ph: (509) 919-8703 |
| NPI Number | 1558173955 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558173955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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