Colonial Clinic III, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

32025500 Issued in WA

Legal business name

COLONIAL CLINIC III, LLC

Practice address

910 N Washington St Ste 210
Spokane, WA 99201-2260

Phone

(509) 327-9831

Fax

(509) 327-9857

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Thomas H. Stolz Huston Stolz, CDP

Title

Clinic Director/Counselor

Phone

(509) 327-9831

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1447590757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N WASHINGTON ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012260",
            "telephone_number": "509-327-9831",
            "fax_number": "509-327-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N WASHINGTON ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012260",
            "telephone_number": "509-327-9831",
            "fax_number": "509-327-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CLINIC III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "STOLZ",
        "authorized_official_first_name": "THOMAS H. STOLZ",
        "authorized_official_middle_name": "HUSTON",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "509-327-9831",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "32025500",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WA",
            "license": "32025500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collinsfamilydentistry
• Margaret E Collyer, ARNP
• Jessica Jean Colombini, DNP
• Gabriella Colon, PHARMD
• Colonial Clinic II, LLC
• Colorful Minds Collective PLLC
• James C.S. Colquhoun, MD
• Angela June Colston
• Shana Colt
• Mariah Grace Coluccio, LMHCA

• Early Intervention Provider Agency in Spokane, WA
• Providers in Spokane, WA by specialty
• Early Intervention Provider Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.