Provider Demographics
NPI:1275613002
Name:HALSEY, HEIDI (LMFT)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:
Last Name:HALSEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5409 100TH ST SW # 99787
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98496-0787
Mailing Address - Country:US
Mailing Address - Phone:253-446-9222
Mailing Address - Fax:253-302-3596
Practice Address - Street 1:5409 100TH ST SW # 99787
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98496-0787
Practice Address - Country:US
Practice Address - Phone:253-446-9222
Practice Address - Fax:253-302-3596
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF000011254106H00000X
WALF00001125106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist