Derive Family Therapy
Clinic/Center, Mental Health (Including Community Mental Health Center) in Spokane, WA. Organization (NPI-2).
NPI number1336668656
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1336668656
- Entity type
- Organization (NPI-2)
- Legal business name
- Derive Family Therapy
- Organization subpart
- No
- Enumeration date
- Sep 18, 2017
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
12128 N Division St Unit 447Spokane, WA 99218-1905
Phone 509-991-0108
Mailing address
12128 N Division St Unit 447Spokane, WA 99218-1905
Phone 509-991-0108
Authorized official
Tiffany Chyrene Cutting
Owner/Therapist
5099910108
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