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General NPI Number Information
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NPI Number | 1104634724
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Entity Type | Organization
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Legal Business Name | OMACHE COUNSELING LLC
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 505 N ARGONNE RD STE B207
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-2873
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Country | US
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Telephone | 509-979-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 505 N ARGONNE RD STE B207
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-2873
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Country | US
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Telephone | 509-979-2443
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MR. TROY TODD
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Credential | MA LMHC
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Telephone | 509-979-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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