Healthcare Provider Details

I. General information

NPI: 1700749405
Provider Name (Legal Business Name): BRITTANY JOLENE REILLY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BEA REILLY LMHCA

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9921 N NEVADA ST STE 103
SPOKANE WA
99218-1145
US

IV. Provider business mailing address

9921 N NEVADA ST STE 103
SPOKANE WA
99218-1145
US

V. Phone/Fax

Practice location:
  • Phone: 509-519-6850
  • Fax:
Mailing address:
  • Phone: 509-519-6850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: