Healthcare Provider Details
I. General information
NPI: 1871363895
Provider Name (Legal Business Name): PINEWOOD THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
522 W RIVERSIDE AVE # 8554
SPOKANE WA
99201-0580
US
IV. Provider business mailing address
522 W RIVERSIDE AVE # 8554
SPOKANE WA
99201-0580
US
V. Phone/Fax
- Phone: 509-255-3086
- Fax: 509-255-7787
- Phone: 509-255-3086
- Fax: 509-255-7787
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELISE
SMITHMIER
Title or Position: FOUNDER AND OWNER
Credential: LCPC, LPC, LMHC
Phone: 509-255-3086