Healthcare Provider Details
I. General information
NPI: 1437988771
Provider Name (Legal Business Name): LILAC CITY PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2024
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
316 W BOONE AVE STE 656
SPOKANE WA
99201-2346
US
IV. Provider business mailing address
316 W BOONE AVE STE 656
SPOKANE WA
99201-2346
US
V. Phone/Fax
- Phone: 509-872-5009
- Fax: 509-593-4676
- Phone: 509-872-5009
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RHIANNON
ARMSTRONG
Title or Position: OWNER/PROVIDER
Credential: ARNP
Phone: 509-872-5009