Healthcare Provider Details

I. General information

NPI: 1609795509
Provider Name (Legal Business Name): PATHWAY TO WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W 7TH AVE
SPOKANE WA
99204-2843
US

IV. Provider business mailing address

12201 E 37TH CT
SPOKANE VALLEY WA
99206-6319
US

V. Phone/Fax

Practice location:
  • Phone: 509-638-3390
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: TARA MARCELLA
Title or Position: OWNER
Credential: LICSW
Phone: 509-638-3390