| Sprout Psychiatry Llc | |
|
522 W Riverside Ave Ste 5402 Spokane WA 99201-0580 | |
| (206) 485-2079 | |
| (206) 480-0697 |
| Full Name | Sprout Psychiatry Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 522 W Riverside Ave Ste 5402, Spokane, Washington |
| Authorized Official Name and Position | Maxwell Taylor (OWNER/PROVIDER) |
| Authorized Official Contact | 2064852079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Psychiatry Llc 522 W Riverside Ave Ste 5402 Spokane WA 99201-0580 Ph: (206) 485-2079 | Sprout Psychiatry Llc 522 W Riverside Ave Ste 5402 Spokane WA 99201-0580 Ph: (206) 485-2079 |
| NPI Number | 1255180741 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255180741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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