| Shadowed Mind Therapy, Llc | |
|
11003 E 15th Ave Spokane Valley WA 99206-2846 | |
| (208) 820-2310 | |
| (509) 381-3528 |
| Full Name | Shadowed Mind Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11003 E 15th Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | Hiliary Beatty (MARRIAGE AND FAMILY THERAPIST/OWNER) |
| Authorized Official Contact | 2088202310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadowed Mind Therapy, Llc 11003 E 15th Ave Spokane Valley WA 99206-2846 Ph: () - | Shadowed Mind Therapy, Llc 11003 E 15th Ave Spokane Valley WA 99206-2846 Ph: (208) 820-2310 |
| NPI Number | 1891465746 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891465746 | NPI | - | NPPES |
| 6517651 | Other | WA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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