Individual provider · Type 1 NPI

Khadija Tahira Ewalt, LMHC

Mental Health Counselor · Caldwell, ID

NPI number 1851939474 Active

About NPI 1851939474

Khadija Tahira Ewalt, LMHC's National Provider Identifier is 1851939474, issued on Dec 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Caldwell, ID. The record was last updated on Aug 24, 2026.