=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871462804
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHOSHANA ROSENTHAL PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/29/2025
-----------------------------------------------------
Last Update Date | 11/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 N HOWARD ST STE R
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99201-0508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-720-8713
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 N HOWARD ST STE R
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99201-0508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MENTAL HEALTH PRACTITIONER
-----------------------------------------------------
Name | SHOSHANA ROSENTHAL
-----------------------------------------------------
Credential | MA, LMHC
-----------------------------------------------------
Telephone | 509-720-8713
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------