Healthcare Provider Details

I. General information

NPI: 1235848128
Provider Name (Legal Business Name): UNIQ AIRYONNA METCALFE MS, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date: 06/06/2025
Reactivation Date: 06/29/2026

III. Provider practice location address

4005 N COOK ST
SPOKANE WA
99207-5879
US

IV. Provider business mailing address

4005 N COOK ST
SPOKANE WA
99207-5879
US

V. Phone/Fax

Practice location:
  • Phone: 509-530-4230
  • Fax: 509-530-4235
Mailing address:
  • Phone: 509-530-4230
  • Fax: 509-530-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.61551458
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: