Healthcare Provider Details

I. General information

NPI: 1760236665
Provider Name (Legal Business Name): FREE 2 ACHIEVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 S LINCOLN ST STE 150
SPOKANE WA
99201-4443
US

IV. Provider business mailing address

7902 E WOODLAND PARK DR
SPOKANE WA
99212-3512
US

V. Phone/Fax

Practice location:
  • Phone: 509-724-0148
  • Fax:
Mailing address:
  • Phone: 509-724-0148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIAH B SCHREVEN
Title or Position: FOUNDER, PROVIDER
Credential: ARNP
Phone: 509-724-0148