Organization Active NPI

Mide Integrative Therapies

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
National Provider Identifier
1003503897
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIDE INTEGRATIVE THERAPIES
Practice address
1516 W Riverside Ave Ste 208
Spokane, WA 99201-1241
Phone
(707) 337-6721
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Hart, LMHCNPI 1770081713
Title
Owner
Phone
(707) 337-6721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1516 W Riverside Ave Ste 208
Spokane, WA 99201-1241

Mailing address

3408 W 3Rd Ave
Spokane, WA 99224-1209
Phone (707) 337-6721

National Provider Directory

National Provider Directory

Locations

1516 W Riverside Ave
Ste 208
Spokane, WA 99201
Phone (509) 436-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1003503897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992241209",
            "telephone_number": "707-337-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W RIVERSIDE AVE STE 208",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011241",
            "telephone_number": "707-337-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDE INTEGRATIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-337-6721",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.