Healthcare Provider Details

I. General information

NPI: 1649746876
Provider Name (Legal Business Name): LAYKIN MARY ELIZABETH BOYES PMHNP, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 N WASHINGTON ST STE 114
SPOKANE WA
99201-2401
US

IV. Provider business mailing address

1212 N WASHINGTON ST STE 114
SPOKANE WA
99201-2401
US

V. Phone/Fax

Practice location:
  • Phone: 509-761-9608
  • Fax:
Mailing address:
  • Phone: 509-761-9608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70067324
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60855842
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: