Healthcare Provider Details

I. General information

NPI: 1811610066
Provider Name (Legal Business Name): MHA SPEAKOUT SPEAKUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3012 N NEVADA ST STE 1
SPOKANE WA
99207-2800
US

IV. Provider business mailing address

3012 N NEVADA ST STE 1
SPOKANE WA
99207-2800
US

V. Phone/Fax

Practice location:
  • Phone: 509-385-5286
  • Fax:
Mailing address:
  • Phone: 509-385-5286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOLIE LYNNE KNIGHT
Title or Position: DIRECTOR/FOUNDER
Credential:
Phone: 509-428-5618