Provider Demographics
NPI:1588440929
Name:CALM RESILIENCE COUNSELING, PLLC
Entity type:Organization
Organization Name:CALM RESILIENCE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:612-799-5707
Mailing Address - Street 1:2624 N DIVISION ST # 1009
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2129
Mailing Address - Country:US
Mailing Address - Phone:612-799-5707
Mailing Address - Fax:971-369-9478
Practice Address - Street 1:508 WEST 6TH AVE APT 4C
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204
Practice Address - Country:US
Practice Address - Phone:612-799-5707
Practice Address - Fax:971-369-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty