Healthcare Provider Details

I. General information

NPI: 1528946142
Provider Name (Legal Business Name): MIND AND METABOLISM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W RIVERSIDE AVE # 5639
SPOKANE WA
99201-0580
US

IV. Provider business mailing address

522 W RIVERSIDE AVE # 5639
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 253-525-5536
  • Fax: 206-210-6572
Mailing address:
  • Phone: 253-525-5536
  • Fax: 206-210-6572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: ABDUL CALFOS
Title or Position: OWNER
Credential:
Phone: 206-356-9044