| Fully You Therapy Pllc | |
|
1651 N Harvest Pkwy Unit B106 Liberty Lake WA 99019-5268 | |
| (509) 230-4068 | |
| Not Available |
| Full Name | Fully You Therapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1651 N Harvest Pkwy Unit B106, Liberty Lake, Washington |
| Authorized Official Name and Position | Anna Johnson (OWNER/THERAPIST) |
| Authorized Official Contact | 5092304068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fully You Therapy Pllc 1651 N Harvest Pkwy Unit B106 Liberty Lake WA 99019-5268 Ph: (509) 230-4068 | Fully You Therapy Pllc 1651 N Harvest Pkwy Unit B106 Liberty Lake WA 99019-5268 Ph: (509) 230-4068 |
| NPI Number | 1356180194 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 06/13/2026 |
| Certification Date | 06/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356180194 | NPI | - | NPPES |
| 1730793712 | Other | INDIVIDUAL NPI | |
| 2163747 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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