Provider Demographics
NPI:1386333250
Name:PSYCHIATRIC SERVICES OF THE INLAND NORTHWEST, PLLC
Entity type:Organization
Organization Name:PSYCHIATRIC SERVICES OF THE INLAND NORTHWEST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBEKKAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-581-9959
Mailing Address - Street 1:8117 E ELDE DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-1663
Mailing Address - Country:US
Mailing Address - Phone:509-581-9959
Mailing Address - Fax:509-919-3647
Practice Address - Street 1:140 S ARTHUR ST STE 415
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2220
Practice Address - Country:US
Practice Address - Phone:509-581-9959
Practice Address - Fax:509-919-3647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty