| Imagine Counseling Spokane Pllc | |
|
502 N Mullan Rd Suite B Spokane Valley WA 99206-3864 | |
| (509) 822-3709 | |
| (509) 323-1607 |
| Full Name | Imagine Counseling Spokane Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 502 N Mullan Rd, Spokane Valley, Washington |
| Authorized Official Name and Position | Dawnitta D Schell (BUSINESS MANAGER) |
| Authorized Official Contact | 5093251977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Counseling Spokane Pllc Po Box 14683 Spokane Valley WA 99214-0683 Ph: (509) 822-3709 | Imagine Counseling Spokane Pllc 502 N Mullan Rd Suite B Spokane Valley WA 99206-3864 Ph: (509) 822-3709 |
| NPI Number | 1962953125 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 11/02/2016 |
| Medicare PECOS PAC ID | 7416238175 |
|---|---|
| Medicare Enrollment ID | O20170111003360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962953125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Natalie Marie Farr |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1730287061 PECOS PAC ID: 9638573124 Enrollment ID: I20210805000813 |
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