Healthcare Provider Details

I. General information

NPI: 1528033750
Provider Name (Legal Business Name): SUSAN T ENGLISH MS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11207 E BROADWAY AVE
SPOKANE VALLEY WA
99206-5009
US

IV. Provider business mailing address

PO BOX 141378
SPOKANE VALLEY WA
99214-1378
US

V. Phone/Fax

Practice location:
  • Phone: 509-892-3784
  • Fax: 509-892-3819
Mailing address:
  • Phone: 509-892-3784
  • Fax: 509-892-3819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00003712
License Number StateWA

VIII. Authorized Official

Name: MS. SUSAN THERESE ENGLISH
Title or Position: OWNER
Credential: LMHC
Phone: 509-892-3784