# SHADOWED MIND THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891465746
- **Authorized official:** HILIARY BEATTY MA, LMFT (MARRIAGE AND FAMILY THERAPIST/OWNER)
- **Authorized official phone:** (208) 820-2310

## Contact information

- **Practice address:** 11003 E 15TH AVE, SPOKANE VALLEY, WA 99206-2846
- **Practice address phone:** (208) 820-2310
- **Practice address fax:** (509) 381-3528
- **Mailing address:** 11003 E 15TH AVE, SPOKANE VALLEY, WA 99206-2846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2021
- **Last updated:** 09/14/2021