Healthcare Provider Details
I. General information
NPI: 1619058997
Provider Name (Legal Business Name): YFA CONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2006
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22 S THOR STREET
SPOKANE WA
99202
US
IV. Provider business mailing address
P.O. BOX 3344
SPOKANE WA
99220-3344
US
V. Phone/Fax
- Phone: 509-532-2000
- Fax: 509-532-2005
- Phone: 509-532-2000
- Fax: 509-532-2005
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | 166 |
| License Number State | WA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 166 |
| License Number State | WA |
VIII. Authorized Official
Name:
ANGELA
M
GETZ
Title or Position: CEO
Credential: LMHC
Phone: 509-532-2000