Organization
MIND OVER MATTER MENTAL HEALTH, LLC
Active
Organization
MIND OVER MATTER MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE JEANETTE DIRICCO ARNP, RN (OWNER)
(509) 934-1925
Entity
Organization
Contact information
Practice address
1717 W FRANCIS AVE STE 204, SPOKANE, WA 99205-6858
(509) 934-1925
(509) 868-0874
Mailing address
1717 W FRANCIS AVE STE 204, SPOKANE, WA 99205-6858
(509) 934-1925
(509) 868-0874
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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