Active NPI
Inner Glow Wellness
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1891476230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- INNER GLOW WELLNESS
- Doing business as
- Inner Glow Wellness
- Practice address
- 1337 S Grand Blvd
Spokane, WA 99202-1136 - Phone
- (509) 795-0195
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda L Manning
- Title
- Owner
- Phone
- (509) 795-0195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1337 S Grand Blvd
Spokane, WA 99202-1136
Mailing address
531 E 12TH Ave
Spokane, WA 99202-1108
Phone (509) 795-0195
Other names 1
- Inner Glow Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Spokane, WA
- NPI 1871919498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1891476230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 E 12TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021108",
"telephone_number": "509-795-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 S GRAND BLVD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021136",
"telephone_number": "509-795-0195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER GLOW WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-795-0195"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inner Glow Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 27, 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.