Healthcare Provider Details

I. General information

NPI: 1790696292
Provider Name (Legal Business Name): EMBERS OF EMPOWERMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 W RIVERSIDE AVE STE 802
SPOKANE WA
99201-0402
US

IV. Provider business mailing address

421 W RIVERSIDE AVE STE 802
SPOKANE WA
99201-0402
US

V. Phone/Fax

Practice location:
  • Phone: 509-252-5070
  • Fax:
Mailing address:
  • Phone: 509-252-5070
  • 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: KAITLYN ROSE CHAPMAN
Title or Position: CLINICIAN/OWNER
Credential:
Phone: 509-252-5070