Provider Demographics
NPI:1508339268
Name:WITT WELLNESS & COUNSELING, LLC
Entity Type:Organization
Organization Name:WITT WELLNESS & COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/PROVIDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:WITT
Authorized Official - Last Name:SHOOP
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:208-576-4371
Mailing Address - Street 1:400 S JEFFERSON ST STE 200F
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3149
Mailing Address - Country:US
Mailing Address - Phone:208-576-4371
Mailing Address - Fax:
Practice Address - Street 1:400 S JEFFERSON ST STE 200F
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3149
Practice Address - Country:US
Practice Address - Phone:208-576-4371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-05
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty