Organization Active NPI

14114 Spokane Detox LLC

Doing business as We Level Up Washington

  • Psychiatric Residential Treatment Facility
  • Spokane Valley, WA
National Provider Identifier
1013608801
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
14114 SPOKANE DETOX LLC
Doing business as
We Level Up Washington
Practice address
14114 E 3Rd Ave
Spokane Valley, WA 99216-2102
Phone
(561) 222-1719
NPI assigned
May 15, 2023
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Alexandra Korotkevich
Title
Executive
Phone
(561) 222-1719

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

14114 E 3Rd Ave
Spokane Valley, WA 99216-2102

Mailing address

1701 Green Rd Ste C
Deerfield Beach, FL 33064-1074

Other names 1

  • We Level Up Washington Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2275639We Level Up Washington14114 E 3Rd Ave, Spokane Valley, WA 99216Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

14114 E 3rd Ave
Spokane Valley, WA 99216
Phone (561) 222-1719

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1013608801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GREEN RD STE C",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 E 3RD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162102",
            "telephone_number": "561-222-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "14114 SPOKANE DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "KOROTKEVICH",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "561-222-1719"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Level Up Washington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "We Level Up Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.