Healthcare Provider Details

I. General information

NPI: 1952232944
Provider Name (Legal Business Name): ANNA BRACKETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S FREYA ST
SPOKANE WA
99202-4862
US

IV. Provider business mailing address

4404 N STAPLES AVE
COEUR D ALENE ID
83815-7848
US

V. Phone/Fax

Practice location:
  • Phone: 509-818-0171
  • Fax:
Mailing address:
  • Phone: 509-994-8838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: