Provider Demographics
NPI:1669184008
Name:ALPENGLOW MENTAL WELLNESS, LLC
Entity type:Organization
Organization Name:ALPENGLOW MENTAL WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:BURSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:509-570-2502
Mailing Address - Street 1:2012 S OVERBLUFF CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3469
Mailing Address - Country:US
Mailing Address - Phone:509-570-2502
Mailing Address - Fax:
Practice Address - Street 1:2012 S OVERBLUFF CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3469
Practice Address - Country:US
Practice Address - Phone:509-570-2502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty