| Rockstar Wellness Llc | |
|
8619 N Division St Ste B Spokane WA 99208-5944 | |
| (140) 251-5505 | |
| (509) 381-3536 |
| Full Name | Rockstar Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8619 N Division St Ste B, Spokane, Washington |
| Authorized Official Name and Position | Andria Hollingshead (OWNER) |
| Authorized Official Contact | 4025155059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockstar Wellness Llc 511 W Sierra Way Spokane WA 99208-6034 Ph: (402) 515-5059 | Rockstar Wellness Llc 8619 N Division St Ste B Spokane WA 99208-5944 Ph: (140) 251-5505 |
| NPI Number | 1972366490 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972366490 | NPI | - | NPPES |
| 1770032526 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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