=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134080021
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPAULDING BEHAVIORAL HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2025
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1446 SPAULDING AVE STE 303
-----------------------------------------------------
City | RICHLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99352-4720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-820-3940
-----------------------------------------------------
Fax | 509-820-3941
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1446 SPAULDING AVE STE 303
-----------------------------------------------------
City | RICHLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99352-4720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-820-3940
-----------------------------------------------------
Fax | 509-820-3941
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | VEDA VARADA
-----------------------------------------------------
Credential | PA-C
-----------------------------------------------------
Telephone | 509-820-3940
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------