Provider Demographics
NPI:1073864518
Name:HALEY, ALICIA MICHELLE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:MICHELLE
Last Name:HALEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MICHELLE
Other - Last Name:CRONIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:SOUND MENTAL HEALTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-302-2200
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:11629 AVONDALE RD NE
Practice Address - Street 2:AVONDALE
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-2201
Practice Address - Country:US
Practice Address - Phone:425-653-5070
Practice Address - Fax:425-653-5071
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WALH60270895101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor