Healthcare Provider Details

I. General information

NPI: 1023609021
Provider Name (Legal Business Name): MAE'S HOPE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 W 17TH AVE
SPOKANE WA
99224-5568
US

IV. Provider business mailing address

1312 N MONROE ST # 115
SPOKANE WA
99201-2623
US

V. Phone/Fax

Practice location:
  • Phone: 509-329-8413
  • Fax:
Mailing address:
  • Phone: 509-329-8413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE J EVELAND
Title or Position: CEO
Credential: LICSW, MSW, CMHS
Phone: 509-329-8413