# GRAVIDA PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Persona Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407578263
- **Authorized official:** MICHAEL COLVER (PMHNP)
- **Authorized official phone:** (509) 596-2199

## Contact information

- **Practice address:** 59 E QUEEN AVE STE 111C, SPOKANE, WA 99207-1430
- **Practice address phone:** (509) 596-2199
- **Mailing address:** 4402 W ELDERBERRY AVE, SPOKANE, WA 99208-9438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2022
- **Last updated:** 08/15/2026
