Organization
EXCELSIOR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW R HILL MS, LMHC, CMHS, RRT (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(509) 559-3100
Entity
Organization
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
(509) 328-7582
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
(509) 328-7582
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007885
—
WA
05
—
2015145
—
WA
Enumeration date
04/21/2011
Last updated
09/16/2022
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