Provider Demographics
NPI:1285214379
Name:CAITLIN SORIANO, LMHC, LLC
Entity Type:Organization
Organization Name:CAITLIN SORIANO, LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-818-0140
Mailing Address - Street 1:405 E HARTSON AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1329
Mailing Address - Country:US
Mailing Address - Phone:509-818-0140
Mailing Address - Fax:509-495-1426
Practice Address - Street 1:405 E HARTSON AVE STE 8
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1329
Practice Address - Country:US
Practice Address - Phone:509-818-0140
Practice Address - Fax:509-495-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2010039Medicaid