Provider Demographics
NPI:1689388597
Name:WALDEN, SKYE LORRINE (MA, LMHCA)
Entity type:Individual
Prefix:
First Name:SKYE
Middle Name:LORRINE
Last Name:WALDEN
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 W WELLESLEY AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-1413
Mailing Address - Country:US
Mailing Address - Phone:509-530-0880
Mailing Address - Fax:
Practice Address - Street 1:1616 W WELLESLEY AVE STE B
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-1413
Practice Address - Country:US
Practice Address - Phone:509-530-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG61387175101Y00000X
WAMC61597786101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor