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NPI Code Detail

MEDICARE: CONNECTION HUB PLLC

MEDICARE: CONNECTION HUB PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1376319020
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTION HUB PLLC
Provider Business Mailing Address
First Line : 6803 S REGAL CT
Second Line :
City : SPOKANE
State : WA
Zip : 99223-2100
Country : US
Telephone Number : 509-761-9961
Fax Number :
Provider Business Practice Location Address
First Line : 104 S FREYA ST STE 320
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4867
Country : US
Telephone Number : 509-761-9961
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : ANDREA HAINSWORTH
Credential : LMHC
Telephone Number : 509-761-9961
Provider Enumeration Date : 12/04/2023
Last Update Date : 12/04/2023

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Directions to “CONNECTION HUB PLLC ” Practice Location

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