=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184409997
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE HIVE COLLECTIVE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2023
-----------------------------------------------------
Last Update Date | 08/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23801 E APPLEWAY AVE STE 110
-----------------------------------------------------
City | LIBERTY LAKE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99019-9687
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-869-7586
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5620 N VISTA GRANDE DR
-----------------------------------------------------
City | OTIS ORCHARDS
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99027-9105
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-869-7586
-----------------------------------------------------
Fax | 509-903-1005
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, THERAPIST
-----------------------------------------------------
Name | MS. TABITHA M YEAGER
-----------------------------------------------------
Credential | MA, LMFT, MHP, CMHS
-----------------------------------------------------
Telephone | 509-869-7586
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------