| Counseling Cove Pllc | |
|
100 N Howard St Ste 4574 Spokane WA 99201-0508 | |
| (903) 698-7455 | |
| (903) 388-9141 |
| Full Name | Counseling Cove Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N Howard St Ste 4574, Spokane, Washington |
| Authorized Official Name and Position | Melody Mckibbin (OWNER) |
| Authorized Official Contact | 9038188047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Cove Pllc Po Box 1 Ector TX 75439-0001 Ph: (903) 818-8047 | Counseling Cove Pllc 100 N Howard St Ste 4574 Spokane WA 99201-0508 Ph: (903) 698-7455 |
| NPI Number | 1316639883 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Medicare PECOS PAC ID | 2062864861 |
|---|---|
| Medicare Enrollment ID | O20250131001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316639883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melody Mckibbin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790412955 PECOS PAC ID: 5496107344 Enrollment ID: I20250131001376 |
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