MEDICARE: KAYLA WELLS THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1730965286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAYLA WELLS THERAPY LLC

Provider Business Mailing Address
First Line	:	100 N HOWARD ST # 7071
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	253-235-1182
Fax Number	:

Provider Business Practice Location Address
First Line	:	522 W RIVERSIDE AVE # 8267
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0580
Country	:	US
Telephone Number	:	509-240-9923
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAYLA MARIE WELLS
Credential	:	LMHC
Telephone Number	:	813-416-7141

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	05/18/2026

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