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General NPI Number Information
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NPI Number | 1104769595
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Entity Type | Organization
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Legal Business Name | INNER COMPASS BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 04/11/2026
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Last Update Date | 04/11/2026
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Provider Practice Location Address
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Address Line | 400 S JEFFERSON ST
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City | SPOKANE
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State | WA
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Zip | 99204-3121
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Country | US
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Telephone | 509-703-2156
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11674
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City | SPOKANE VLY
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State | WA
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Zip | 99211-1674
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Country | US
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Telephone | 509-242-5040
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MICHAEL S FOX
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Credential | SUDP, LICSW
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Telephone | 509-703-2156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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