| Grassroots Therapy Group | |
|
N 1212 Washington Suite 204 Spokane WA 99201 | |
| (509) 279-8838 | |
| (509) 267-2717 |
| Full Name | Grassroots Therapy Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | N 1212 Washington, Spokane, Washington |
| Authorized Official Name and Position | Lori Eastep (PARTNER/THERAPIST) |
| Authorized Official Contact | 5092798838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grassroots Therapy Group N 1212 Washington Suite 204 Spokane WA 99201 Ph: (509) 279-8838 | Grassroots Therapy Group N 1212 Washington Suite 204 Spokane WA 99201 Ph: (509) 279-8838 |
| NPI Number | 1215379086 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 04/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215379086 | NPI | - | NPPES |
| 2041796 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00008611 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60185885 (Washington) | Primary |
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