Organization
REVIVE COUNSELING SPOKANE, PLLC
Active
Organization
REVIVE COUNSELING SPOKANE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAYNE E PAVEY LICSW (OWNER)
(509) 413-2950
Entity
Organization
Contact information
Practice address
2222 N MONROE ST, SPOKANE, WA 99205-4545
(509) 413-2950
(509) 241-1866
Mailing address
2222 N MONROE ST, SPOKANE, WA 99205-4545
(509) 413-2950
(509) 241-1866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225556483
—
WA
05
—
1679873368
—
WA
05
—
1700304920
—
WA
05
—
2079260
—
WA
Enumeration date
10/03/2018
Last updated
06/22/2019
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