Healthcare Provider Details

I. General information

NPI: 1659286623
Provider Name (Legal Business Name): MINDFUL MISCHIEF, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N MULLAN RD STE 214
SPOKANE VALLEY WA
99206-3793
US

IV. Provider business mailing address

3628 E 13TH AVE
SPOKANE WA
99202-5409
US

V. Phone/Fax

Practice location:
  • Phone: 509-541-8385
  • Fax:
Mailing address:
  • Phone: 509-541-8385
  • 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: MS. REANNA MAY THOMPSON
Title or Position: OWNER
Credential: MSW; LICSW
Phone: 509-541-8385