Healthcare Provider Details

I. General information

NPI: 1144136870
Provider Name (Legal Business Name): TRILLIUM CONSULTING GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12709 EAST MIRABEAU PKWY STE 300
SPOKANE VALLEY WA
99216
US

IV. Provider business mailing address

100 N HOWARD ST
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 253-254-5512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KENTRELL PITTMAN KENTRELL PITTMAN
Title or Position: DIRECTOR
Credential: PITTMAN
Phone: 336-306-0881