Provider Demographics
NPI:1942958632
Name:MAGGIE INGE PLLC
Entity Type:Organization
Organization Name:MAGGIE INGE PLLC
Other - Org Name:MAGNOLIA INSIGHT COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:INGE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:509-818-8744
Mailing Address - Street 1:2716 S SEABISCUIT DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-5108
Mailing Address - Country:US
Mailing Address - Phone:509-280-2290
Mailing Address - Fax:
Practice Address - Street 1:12109 E BROADWAY AVE # C-2
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6133
Practice Address - Country:US
Practice Address - Phone:509-818-8744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-12
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty