Organization
GOODWIN HEALTH CAFE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARGARET ALLEN (OFFICE MANAGER)
(509) 415-3507
Entity
Organization
Contact information
Practice address
5625 N WALL ST STE 100, SPOKANE, WA 99205-6435
(509) 415-3507
Mailing address
5625 N WALL ST STE 100, SPOKANE, WA 99205-6435
(509) 415-3507
(857) 270-7251
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
04/02/2026
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