Organization
MIKOLASY, LLC
Active
Organization
MIKOLASY, LLC
Active
Other names
Return to Roots Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL E MIKOLASY LMFT (OWNER/THERAPIST)
(509) 230-9722
Entity
Organization
Contact information
Practice address
400 S JEFFERSON ST STE 451, SPOKANE, WA 99204-3143
(619) 693-7576
Mailing address
PO BOX 4231, SPOKANE, WA 99220-0231
(509) 230-9722
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
60812427
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235598046
—
CA
Enumeration date
09/05/2018
Last updated
09/05/2018
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