Healthcare Provider Details

I. General information

NPI: 1578472882
Provider Name (Legal Business Name): BLAINE MENTAL HEALTH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

429 E MISSION AVE
SPOKANE WA
99202-1822
US

IV. Provider business mailing address

429 E MISSION AVE
SPOKANE WA
99202-1822
US

V. Phone/Fax

Practice location:
  • Phone: 509-356-1755
  • Fax:
Mailing address:
  • Phone:
  • 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: KATHERINE BLAINE
Title or Position: OWNER
Credential: M.ED.
Phone: 509-356-1755