Healthcare Provider Details

I. General information

NPI: 1295655090
Provider Name (Legal Business Name): VICTORIA SCOTT BHSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 N WASHINGTON ST STE 104
SPOKANE WA
99201-2401
US

IV. Provider business mailing address

321 6TH ST APT 9
CHENEY WA
99004-1580
US

V. Phone/Fax

Practice location:
  • Phone: 509-818-0641
  • Fax:
Mailing address:
  • Phone: 360-500-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberBHSC.BH.70147942
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: