Organization
LAKES MENTAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL DAVIS ALFRED (CEO/PROVIDER)
(214) 909-2989
Entity
Organization
Contact information
Practice address
2814 S GRAND BLVD, SPOKANE, WA 99203-2528
(509) 259-8470
(509) 214-2405
Mailing address
2814 S GRAND BLVD, SPOKANE, WA 99203-2528
(509) 259-8470
(509) 212-2405
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
06/27/2025
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