NPI Code Details Logo

NPI 1447012117

NPI 1447012117 : BAKIMA ELISABETH SSEBANAKITTA : SPOKANE, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447012117
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BAKIMA ELISABETH SSEBANAKITTA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/29/2024
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1960 N HOLY NAMES CT FL 3 
-----------------------------------------------------
    City                 |    SPOKANE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    99224-5803
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-242-2308
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1960 N HOLY NAMES CT FL 3 
-----------------------------------------------------
    City                 |    SPOKANE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    99224-5803
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    509-242-2308
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    MHCA.MC.61690496
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    101Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Counselor
-----------------------------------------------------
    License Number       |    MHCA.MC.61690496
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.