CHARMONIX BLOOM GILBERT SUDP-T
NPI 1053174995
Counselor - Addiction (Substance Use Disorder) in Spokane, WA

Q: What is Charmonix Bloom Gilbert's NPI number?

The NPI number for Charmonix Bloom Gilbert is 1053174995. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Q: What is Charmonix Bloom Gilbert's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since February 02, 2024

4305 E TRENT AVE, SPOKANE, WA 99212(509) 795-3133 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Charmonix Bloom Gilbert Sudp-t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARMONIX BLOOM GILBERT SUDP-T (NPI 1053174995) is an individual addiction (substance use disorder) provider in Spokane, Washington, licensed in Washington (CO61493843) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1053174995

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCHARMONIX BLOOM GILBERTCredential: SUDP-T

Location Address4305 E TRENT AVESpokane, WA 99212-1315

Mailing Address4305 E Trent AveSpokane, WA 99212-1315 · (509) 795-3133

Phone(509) 795-3133

Sole ProprietorNo

Enumeration DateFebruary 2, 2024

Last NPPES UpdateMay 28, 2025

NPPES CertifiedMay 28, 2025

✔ NPI 1053174995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CO61493843

4305 E TRENT AVE, Spokane, WA 99212

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKKI NICOLE MARTIN

Counselor (Addiction (Substance Use Disorder))

4305 E TRENT AVE
SPOKANE, WA 99212

Spokane County (509) 495-1207

PATRICIA E CORRAL

Licensed Practical Nurse

4305 E TRENT AVE
SPOKANE, WA 99212

Spokane County (509) 795-3133

SHEILA HARTFORD LPN

Licensed Practical Nurse

4305 E TRENT AVE
SPOKANE, WA 99212

Spokane County (509) 495-1207

KATHY L BLEAM LPN

Licensed Practical Nurse

4305 E TRENT AVE
SPOKANE VALLEY, WA 99212

Spokane County (509) 795-3133

KAYLA SERBANTEZ

Licensed Practical Nurse

4305 E TRENT AVE
SPOKANE VALLEY, WA 99212

Spokane County (509) 495-1207

MR. QUINTON NIGEL TUCKER LPN

Licensed Practical Nurse

4305 E TRENT AVE
SPOKANE, WA 99212

Spokane County (509) 795-3133

CASSONDRA NICOLE MOORS SUDPT

Counselor (Addiction (Substance Use Disorder))

4305 E TRENT AVE
SPOKANE VALLEY, WA 99212

Spokane County (509) 795-3133

NADER QAMHIYEH

Licensed Practical Nurse

4305 E TRENT AVE
SPOKANE, WA 99212

Spokane County (509) 795-3133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charmonix Bloom Gilbert's NPI number?

The NPI number for Charmonix Bloom Gilbert is 1053174995. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Where is Charmonix Bloom Gilbert located?

Charmonix Bloom Gilbert practices at 4305 E Trent Ave, Spokane, WA 99212. The listed phone number is (509) 795-3133.

What is Charmonix Bloom Gilbert's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charmonix Bloom Gilbert was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.