Healthcare Provider Details

I. General information

NPI: 1194595207
Provider Name (Legal Business Name): ALICIA M BINDENAGEL LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W HOWARD ST STE W
SPOKANE WA
99201
US

IV. Provider business mailing address

3111 E CLARENDON AVE UNIT 201
PHOENIX AZ
85016-7092
US

V. Phone/Fax

Practice location:
  • Phone: 602-390-8795
  • Fax:
Mailing address:
  • Phone: 602-390-8795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLAC23399
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC61506751
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: