Healthcare Provider Details

I. General information

NPI: 1407778004
Provider Name (Legal Business Name): JAYE LAVENDER COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W RIVERSIDE AVE # 8582
SPOKANE WA
99201-0580
US

IV. Provider business mailing address

522 W RIVERSIDE AVE # 8582
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 206-880-3426
  • Fax:
Mailing address:
  • Phone: 206-880-3426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JAYE L MINOR
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 206-880-3426