Provider Demographics
NPI:1093045676
Name:CALM WATERS COUNSELING PLLC
Entity Type:Organization
Organization Name:CALM WATERS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ESTELLE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:509-467-9111
Mailing Address - Street 1:10103 N DIVISION ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1380
Mailing Address - Country:US
Mailing Address - Phone:509-467-9111
Mailing Address - Fax:509-468-1294
Practice Address - Street 1:10103 N DIVISION ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1380
Practice Address - Country:US
Practice Address - Phone:509-467-9111
Practice Address - Fax:509-468-1294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty