Healthcare Provider Details

I. General information

NPI: 1346156973
Provider Name (Legal Business Name): HOLISTIC INTEGRATIVE GENERATIONAL HEALTH EDUCATION RESOURCE SPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8714 E SPRAGUE AVE # 4444
SPOKANE VALLEY WA
99212-2924
US

IV. Provider business mailing address

8714 E SPRAGUE AVE # 4444
SPOKANE VALLEY WA
99212-2924
US

V. Phone/Fax

Practice location:
  • Phone: 509-557-3999
  • Fax:
Mailing address:
  • Phone: 509-557-3999
  • Fax: 509-509-5718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: R. 'NEICY' JONES
Title or Position: ADMINISTRATOR
Credential:
Phone: 509-557-3999