MEDICARE: PROGRESS HEALTH NETWORK PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1558220095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESS HEALTH NETWORK PLLC

Provider Business Mailing Address
First Line	:	522 W RIVERSIDE AVE # 8262
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0580
Country	:	US
Telephone Number	:	310-691-5647
Fax Number	:	310-691-5647

Provider Business Practice Location Address
First Line	:	522 W RIVERSIDE AVE # 8262
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0580
Country	:	US
Telephone Number	:	310-691-5647
Fax Number	:	310-691-5647

Authorized Official
Title or Position	:	OWNER
Name	:	NADEZDA LEAVITT
Credential	:
Telephone Number	:	310-691-5647

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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