Healthcare Provider Details

I. General information

NPI: 1124534474
Provider Name (Legal Business Name): DEBRA WINTER MSW, LMHC, LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2017
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S JEFFERSON ST STE 200
SPOKANE WA
99204-3143
US

IV. Provider business mailing address

5915 S HOLLY RD
SPOKANE WA
99224-9469
US

V. Phone/Fax

Practice location:
  • Phone: 509-768-6852
  • Fax:
Mailing address:
  • Phone: 253-307-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61018196
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61534026
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: