Healthcare Provider Details

I. General information

NPI: 1285545483
Provider Name (Legal Business Name): MYLA EWING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

922 S COWLEY ST STE 9
SPOKANE WA
99202-1263
US

IV. Provider business mailing address

922 S COWLEY ST STE 9
SPOKANE WA
99202-1263
US

V. Phone/Fax

Practice location:
  • Phone: 855-995-6777
  • Fax:
Mailing address:
  • Phone: 855-995-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70133432
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: