| Tami Haley Licsw | |
|
707 W 7th Ave Ste 294 Spokane WA 99204-2833 | |
| (509) 710-6292 | |
| (509) 747-1802 |
| Full Name | Tami Haley Licsw |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 707 W 7th Ave Ste 294, Spokane, Washington |
| Authorized Official Name and Position | Tami Haley (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5097106292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tami Haley Licsw Po Box 8441 Spokane WA 99203-0441 Ph: () - | Tami Haley Licsw 707 W 7th Ave Ste 294 Spokane WA 99204-2833 Ph: (509) 710-6292 |
| NPI Number | 1356863591 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 07/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356863591 | NPI | - | NPPES |
| 2088662 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LW60116916 (Washington) | Primary |
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