Healthcare Provider Details

I. General information

NPI: 1104769595
Provider Name (Legal Business Name): INNER COMPASS BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9118 E COLUMBIA DR APT A204
SPOKANE WA
99212-1750
US

IV. Provider business mailing address

PO BOX 11674
SPOKANE VLY WA
99211-1674
US

V. Phone/Fax

Practice location:
  • Phone: 509-214-0004
  • Fax: 320-278-7319
Mailing address:
  • Phone: 509-214-0004
  • Fax: 320-278-7319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL S FOX
Title or Position: MANAGING MEMBER
Credential: SUDP, LICSW
Phone: 509-703-2156