| Revive Counseling Spokane, Pllc | |
|
2222 N Monroe St Spokane WA 99205-4545 | |
| (509) 413-2950 | |
| (509) 241-1866 |
| Full Name | Revive Counseling Spokane, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2222 N Monroe St, Spokane, Washington |
| Authorized Official Name and Position | Layne E Pavey (OWNER) |
| Authorized Official Contact | 5094132950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling Spokane, Pllc 2222 N Monroe St Spokane WA 99205-4545 Ph: (509) 413-2950 | Revive Counseling Spokane, Pllc 2222 N Monroe St Spokane WA 99205-4545 Ph: (509) 413-2950 |
| NPI Number | 1306321567 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 06/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306321567 | NPI | - | NPPES |
| 1225556483 | Medicaid | WA | |
| 1679873368 | Medicaid | WA | |
| 1700304920 | Medicaid | WA | |
| 2079260 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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