# CEDARCREST BEHAVIORAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedarcrest Behavioral Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700698271
- **Authorized official:** GEORGE WANGAI MSN, APRN, PMHNP-BC (CO-OWNER)
- **Authorized official phone:** (770) 292-0854

## Contact information

- **Practice address:** 12623 E SPRAGUE AVE STE 6, SPOKANE VALLEY, WA 99216-0764
- **Practice address phone:** (509) 505-4035
- **Practice address fax:** (509) 253-5183
- **Mailing address:** 12623 E SPRAGUE AVE STE 6, SPOKANE VALLEY, WA 99216-0764
- **Mailing address phone:** (509) 505-4035
- **Mailing address fax:** (509) 253-5183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | — | — |
| 311ZA0620X | Adult Care Home Facility | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2025
- **Last updated:** 03/12/2026