Provider Demographics
NPI:1780487835
Name:INSPIRATIONAL LEGACIES, WELLNESS & MEDIA, LLC
Entity type:Organization
Organization Name:INSPIRATIONAL LEGACIES, WELLNESS & MEDIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TREENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATHER-HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LMHC
Authorized Official - Phone:509-992-9249
Mailing Address - Street 1:1504 N VISTA RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2582
Mailing Address - Country:US
Mailing Address - Phone:509-992-9249
Mailing Address - Fax:509-606-3018
Practice Address - Street 1:522 W RIVERSIDE AVE STE 8675
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0580
Practice Address - Country:US
Practice Address - Phone:509-992-9249
Practice Address - Fax:509-606-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2341495Medicaid