1891637385 NPI number — AUGUST BLOOM COUNSELING, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891637385 NPI number — AUGUST BLOOM COUNSELING, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AUGUST BLOOM COUNSELING, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891637385
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9315 N FARMDALE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPOKANE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99208-9145
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-312-4617
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1717 W NORTHWEST BLVD STE 2B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99205-3601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-312-4617
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CROSBY
Authorized Official First Name:
ALITA
Authorized Official Middle Name:
LOUISE
Authorized Official Title or Position:
OWNER/THERAPIST
Authorized Official Telephone Number:
509-312-4617

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)