Healthcare Provider Details

I. General information

NPI: 1619824760
Provider Name (Legal Business Name): EMERGE CENTER FOR PEDIATRIC FAMILY DEVELOPMENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 N WASHINGTON ST
SPOKANE WA
99201-2439
US

IV. Provider business mailing address

1506 N WASHINGTON ST
SPOKANE WA
99201-2439
US

V. Phone/Fax

Practice location:
  • Phone: 509-215-4030
  • Fax:
Mailing address:
  • Phone: 509-215-4030
  • 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 Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBRA ELISE HUTCHISON
Title or Position: CEO AND FOUNDER
Credential: LMHC, LCPC, CMHS
Phone: 509-215-4030