Provider Demographics
NPI:1942673934
Name:DARCI SHERIDAN COUNSELING PLLC
Entity type:Organization
Organization Name:DARCI SHERIDAN COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CDP
Authorized Official - Prefix:MS
Authorized Official - First Name:DARCI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SHERIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:509-481-5757
Mailing Address - Street 1:618 E LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2856
Mailing Address - Country:US
Mailing Address - Phone:509-481-5757
Mailing Address - Fax:509-326-6165
Practice Address - Street 1:618 E LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2856
Practice Address - Country:US
Practice Address - Phone:509-481-5757
Practice Address - Fax:509-326-6165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603540448251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1952474405Medicaid
WAG8927974OtherMEDICARE