Organization

Revive Counseling Spokane, Pllc

Community/Behavioral Health Agency in Spokane, WA(View on Map)

Legal Business Name

Revive Counseling Spokane, Pllc

NPI Number

1306321567

NPI Type

Organization

Enumeration Date

10/03/2018

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2222 N MONROE ST
2222 N MONROE ST

City

Spokane
Spokane

State

WA
WA

Postal Code

99205-4545
99205-4545

Country

US
US

Telephone Number

(509) 413-2950
(509) 413-2950

Authorized Official

Name

Ms. Layne Pavey

Title or Position

OWNER

Telephone Number

(509) 413-2950

Identifiers

Identifier

1225556483
1679873368
1700304920
2079260

Identifier State

WA
WA
WA
WA

Identifier Issuer

Unknown
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/22/2019

Provider Address

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