Healthcare Provider Details
I. General information
NPI: 1285495887
Provider Name (Legal Business Name): SHEREE GARLAND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/22/2024
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 N HOWARD ST STE R
SPOKANE WA
99201-0508
US
IV. Provider business mailing address
100 N HOWARD ST STE R
SPOKANE WA
99201-0508
US
V. Phone/Fax
- Phone: 480-269-4233
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MC61493809 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LPC-22721 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: