Provider Demographics
NPI:1023609021
Name:MAE'S HOPE, INC.
Entity type:Organization
Organization Name:MAE'S HOPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:EVELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, MSW, CMHS
Authorized Official - Phone:509-329-8413
Mailing Address - Street 1:521 N ARGONNE RD
Mailing Address - Street 2:BUILDING B SUITE 105
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2954
Mailing Address - Country:US
Mailing Address - Phone:509-329-8413
Mailing Address - Fax:
Practice Address - Street 1:521 N ARGONNE RD
Practice Address - Street 2:BUILDING B SUITE 105
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2954
Practice Address - Country:US
Practice Address - Phone:509-329-8413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty