Healthcare Provider Details

I. General information

NPI: 1033081666
Provider Name (Legal Business Name): MOMENT OF PEACE THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W RIVERSIDE AVE STE 10671
SPOKANE WA
99201-0580
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE 10671
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 360-389-2381
  • Fax:
Mailing address:
  • Phone: 360-389-2381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTOPHER A SINCLAIR
Title or Position: CHIEF EXECUTIVE
Credential:
Phone: 360-389-2381