Organization
REVIVE THERAPY & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEZAVETA MIKHEYEVA MSW, LICSW (CLINICAL SOCIAL WORKER)
(509) 936-3357
Entity
Organization
Contact information
Practice address
4721 N WOODLAWN LN, SPOKANE VALLEY, WA 99216-2384
(509) 936-3357
Mailing address
4721 N WOODLAWN LN, SPOKANE VALLEY, WA 99216-2384
(509) 936-3357
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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