Healthcare Provider Details

I. General information

NPI: 1497581003
Provider Name (Legal Business Name): DANU THERAPY, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 N DALE RD
MILLWOOD WA
99212-1905
US

IV. Provider business mailing address

PO BOX 11033
SPOKANE VALLEY WA
99211-1033
US

V. Phone/Fax

Practice location:
  • Phone: 509-418-9680
  • Fax:
Mailing address:
  • Phone: 509-418-9680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRINA CARRIGAN
Title or Position: CEO
Credential: LICSW
Phone: 509-418-9680