| NPI | 1104418680 |
|---|---|
| Doing Business As | ALIVE AND WELLNESS NORTHWEST PLLC |
| Doing Business As | ALIVE AND WELLNESS NORTHWEST |
| Entity Type | Organization |
| Authorized Contact | KAYLA HICKS Owner/Therapist 509-505-6006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2021-02-06 |