Healthcare Provider Details

I. General information

NPI: 1568907061
Provider Name (Legal Business Name): SHAWN TROPLE LUSARRETA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAWN TROPLE

II. Dates (important events)

Enumeration Date: 12/20/2016
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 N LIDGERWOOD ST STE 115
SPOKANE WA
99208-1122
US

IV. Provider business mailing address

107 S DIVISION ST
SPOKANE WA
99202-1510
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-4651
  • Fax:
Mailing address:
  • Phone: 509-838-4561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCAAR.CG.70157309
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCAAR.CG70157309
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00012364
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: