Organization
LAYNE STOOPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAYNE STOOPS M.ED. (OWNER)
(509) 953-9961
Entity
Organization
Contact information
Practice address
1212 N WASHINGTON ST, ONE ROCK POINTE, SUITE 104, SPOKANE, WA 99201-2403
(509) 953-9961
(509) 232-0883
Mailing address
1212 N WASHINGTON ST, ONE ROCK POINTE, SUITE 104, SPOKANE, WA 99201-2403
(509) 953-9961
(509) 232-0883
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
MC60115047
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC-4376
ID
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
LPC-4376
ID
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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