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Contact Information

KOINONIA CENTER LLC
11507 S KEENEY RD
SPOKANE, WA99224-9625
 Phone: 509-850-2377
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for KOINONIA CENTER LLC

NPI Number 1760036842
LBN Legal business name KOINONIA CENTER LLC
Authorized official CHRISTI ORTIZ - (GOVERNOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2019
Last updated 08/07/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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