Provider Demographics
NPI:1164102745
Name:VANTAGE ELEVATION C&C
Entity Type:Organization
Organization Name:VANTAGE ELEVATION C&C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:W
Authorized Official - Last Name:WANJIHIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-209-1813
Mailing Address - Street 1:100 N HOWARD ST STE 4237
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0508
Mailing Address - Country:US
Mailing Address - Phone:360-209-1813
Mailing Address - Fax:
Practice Address - Street 1:100 N HOWARD ST STE 4237
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0508
Practice Address - Country:US
Practice Address - Phone:360-209-1813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty