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General NPI Number Information
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NPI Number | 1295380681
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Entity Type | Organization
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Legal Business Name | SERENITY FAMILY THERAPY
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Dates
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Enumeration Date | 08/03/2019
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 323 E 2ND AVE STE 201
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City | SPOKANE
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State | WA
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Zip | 99202-1455
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Country | US
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Telephone | 509-992-8276
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Fax | 509-278-8905
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Provider Business Mailing Address
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Address Line | 323 E 2ND AVE STE 201
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City | SPOKANE
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State | WA
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Zip | 99202-1455
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Country | US
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Telephone | 509-992-8276
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Fax | 509-278-8905
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Authorized Official
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Title or Position | THERAPIST
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Name | SOMER LYNN RADVANYI
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Credential | LMFT
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Telephone | 509-992-8276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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