Healthcare Provider Details

I. General information

NPI: 1316669872
Provider Name (Legal Business Name): AFFIRMATIONS MENTAL HEALTH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 09/28/2024
Certification Date: 09/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4103 N NORMANDIE ST
SPOKANE WA
99205-1045
US

IV. Provider business mailing address

4103 N NORMANDIE ST
SPOKANE WA
99205-1045
US

V. Phone/Fax

Practice location:
  • Phone: 509-208-3596
  • Fax: 509-596-0059
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS LEE
Title or Position: OWNER/COUNSELOR
Credential: LMHC
Phone: 509-208-9635