| Mide Integrative Therapies | |
|
1516 W Riverside Ave Ste 208 Spokane WA 99201-1241 | |
| (707) 337-6721 | |
| Not Available |
| Full Name | Mide Integrative Therapies |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1516 W Riverside Ave Ste 208, Spokane, Washington |
| Authorized Official Name and Position | Heather Hart (OWNER) |
| Authorized Official Contact | 7073376721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mide Integrative Therapies 3408 W 3rd Ave Spokane WA 99224-1209 Ph: (707) 337-6721 | Mide Integrative Therapies 1516 W Riverside Ave Ste 208 Spokane WA 99201-1241 Ph: (707) 337-6721 |
| NPI Number | 1003503897 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003503897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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