Healthcare Provider Details

I. General information

NPI: 1518153998
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 12/30/2022
Certification Date: 12/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W 2ND AVE
SPOKANE WA
99201-4301
US

IV. Provider business mailing address

525 W 2ND AVE
SPOKANE WA
99201-4301
US

V. Phone/Fax

Practice location:
  • Phone: 509-624-2378
  • Fax: 509-624-2275
Mailing address:
  • Phone: 509-624-2378
  • Fax: 509-624-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number235
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. FAWN SCHOTT
Title or Position: CHIEF EXECUTIVE OFFICER/PRESIDENT
Credential:
Phone: 509-624-2378