Healthcare Provider Details

I. General information

NPI: 1457569808
Provider Name (Legal Business Name): HEART TO HEART CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 W 7TH AVE
SPOKANE WA
99204-3412
US

IV. Provider business mailing address

1303 W MAXWELL AVE
SPOKANE WA
99201-2714
US

V. Phone/Fax

Practice location:
  • Phone: 509-747-7147
  • Fax:
Mailing address:
  • Phone: 509-747-7147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JUDY THORNTON
Title or Position: CLINICAL DIRECTOR
Credential: MSW
Phone: 509-747-7147