Broadside Psychotherapy

Clinical Social Worker · Nine Mile Falls, WA

Organization Active NPI

NPI number 1003737941

Practice location

16610 N Suncrest Dr
Nine Mile Falls, WA 99026-9476
Phone
(267) 969-0447

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NPI record

NPI
1003737941
Entity type
Organization (Type 2)
Enumeration date
July 24, 2026
Last updated
July 24, 2026
Certified
July 24, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —

Mailing address

1818 W Francis Ave # 180
Spokane, WA 99205-6834
Phone
(267) 969-0447

Authorized official

Name
Miss Isabel Taccheri, LICSW
Title
Owner
Phone
(267) 969-0447

About Broadside Psychotherapy

Broadside Psychotherapy is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 16610 N Suncrest Dr, Nine Mile Falls, WA 99026-9476. The NPI number 1003737941 was assigned on July 24, 2026 and the record was last updated on July 24, 2026.

The authorized official for this organization is Miss Isabel Taccheri, LICSW, Owner.

Frequently asked questions

What is the NPI number of Broadside Psychotherapy?

The NPI number is 1003737941.

What is the phone number of Broadside Psychotherapy?

The phone number listed for the practice location is (267) 969-0447.

Where is Broadside Psychotherapy located?

16610 N Suncrest Dr, Nine Mile Falls, WA 99026-9476.

What is the taxonomy code for Broadside Psychotherapy?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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