Healthcare Provider Details

I. General information

NPI: 1457267080
Provider Name (Legal Business Name): GENERATIONAL WELLTH LLC
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 # 8378
SPOKANE VALLEY WA
99212-2924
US

IV. Provider business mailing address

8714 E SPRAGUE AVE # 8378
SPOKANE VALLEY WA
99212-2924
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: RENEICE JONES
Title or Position: CERTIFIED COUNSELOR
Credential:
Phone: 509-508-8338