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Mikolasy, Llc
Adult Mental Health Clinic/Center in Spokane, Washington
NPI 1497237457

Mikolasy, Llc is an Adult Mental Health Clinic/Center based in Spokane, WA and is specialized in Adult Mental Health. Mikolasy, Llc practices in Spokane, WA. The NPI Number for Mikolasy, Llc is 1497237457 and holds a License No. 60812427 (Washington).

The current practice location address for Mikolasy, Llc is 400 S Jefferson St Ste 451, Spokane, WA and can be reached out via phone at 619-693-7576.

Location: 400 S Jefferson St Ste 451, Spokane, WA, 99220-0231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497237457
Provider Name
Mikolasy, Llc
Credential
Provider Entity Type
Organization
Address
400 S Jefferson St Ste 451, Spokane, WA, 99220-0231
Phone Number
619-693-7576
Fax Number
Provider Enumeration Date
09/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235598046 05 CA
institution
Provider Business Practice Location Address Details
Address
400 S Jefferson St Ste 451
City
Spokane
State
Washington
Zip
99204-3143
Phone Number
619-693-7576
Fax Number
person
Provider Business Mailing Address Details
Address
400 S Jefferson St Ste 451
City
Spokane
State
Washington
Zip
99204-3143
Phone Number
619-693-7576
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
60812427 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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