Provider Demographics
NPI:1265098990
Name:BROWNE'S ADDITION WELLNESS CENTER
Entity type:Organization
Organization Name:BROWNE'S ADDITION WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-280-6195
Mailing Address - Street 1:2013 W 4TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-6810
Mailing Address - Country:US
Mailing Address - Phone:509-280-6195
Mailing Address - Fax:509-624-1657
Practice Address - Street 1:2013 W 4TH AVE APT 2
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-6810
Practice Address - Country:US
Practice Address - Phone:509-280-6195
Practice Address - Fax:509-624-1657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty