Provider Demographics
NPI:1841714276
Name:PSYCHIATRIC SOLUTIONS LLC
Entity type:Organization
Organization Name:PSYCHIATRIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ABOUESH
Authorized Official - Middle Name:IBRAHIM
Authorized Official - Last Name:ABOUESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-899-3150
Mailing Address - Street 1:1620 N MAMER RD BLDG B, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-3722
Mailing Address - Country:US
Mailing Address - Phone:530-899-3150
Mailing Address - Fax:530-809-3926
Practice Address - Street 1:1620 N MAMER RD BLDG B
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-3722
Practice Address - Country:US
Practice Address - Phone:530-899-3150
Practice Address - Fax:530-809-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty