# KAYLA ROSE CROSS BLOOM PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619680998
- **Authorized official:** KAYLA CROSS ARNP (OWNER)
- **Authorized official phone:** (509) 879-8560

## Contact information

- **Practice address:** 302 E PACIFIC AVE, SPOKANE, WA 99202-1433
- **Practice address phone:** (509) 557-0450
- **Practice address fax:** (509) 757-8981
- **Mailing address:** 302 E PACIFIC AVE, SPOKANE, WA 99202-1433
- **Mailing address phone:** (509) 557-0450
- **Mailing address fax:** (509) 757-8981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2023
- **Last updated:** 06/02/2025