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NPI 1639983943

NPI 1639983943 : SB THERAPY SERVICES, PLLC : SPOKANE VALLEY, WA

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General NPI Number Information
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    NPI Number           |    1639983943
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    Entity Type          |    Organization 
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    Legal Business Name  |    SB THERAPY SERVICES, PLLC 
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Dates
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    Enumeration Date     |    02/05/2025
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    721 N PINES RD STE 102 
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    City                 |    SPOKANE VALLEY
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    State                |    WA
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    Zip                  |    99206-5225
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    Country              |    US
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    Telephone            |    509-598-1745
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 14225 
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    City                 |    SPOKANE VALLEY
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    State                |    WA
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    Zip                  |    99214-0225
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    Country              |    US
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    Telephone            |    509-598-1745
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MENTAL HEALTH CLINICIAN
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    Name                 |     SARA MONIQUE BARNER 
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    Credential           |    LICSWA
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    Telephone            |    509-598-1745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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