Threadgill, Heather
Threadgill, Heather is an individual health care provider with primary practice located at 1102 S Raymond Rd , Spokane Valley WA 99206-3534. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Threadgill, Heather can be contacted via phone (509) 892-4342.Contact Information
Primary practice address
1102 S Raymond Rd
Spokane Valley WA 99206-3534
Phone: (509) 892-4342
Fax: (509) 928-2804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1710353222 |
|---|---|
| LBN Legal business name | Threadgill, Heather |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Oct 1st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710353222 | NPPES |
| Washington | MEDICAID | CG61006495 | |
| Washington | MEDICAID | LCSW38183 |
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