Organization
SHADOWED MIND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILIARY BEATTY MA, LMFT (MARRIAGE AND FAMILY THERAPIST/OWNER)
(208) 820-2310
Entity
Organization
Contact information
Practice address
11003 E 15TH AVE, SPOKANE VALLEY, WA 99206-2846
(208) 820-2310
(509) 381-3528
Mailing address
11003 E 15TH AVE, SPOKANE VALLEY, WA 99206-2846
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6517651
AETNA
WA
Enumeration date
09/14/2021
Last updated
09/14/2021
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