Provider Demographics
NPI:1417058330
Name:TAHVILI, MICHAELE EVALYN (MA LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MICHAELE
Middle Name:EVALYN
Last Name:TAHVILI
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 220
Mailing Address - Street 2:1825 LESLIE RD
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352
Mailing Address - Country:US
Mailing Address - Phone:509-946-7525
Mailing Address - Fax:509-628-8608
Practice Address - Street 1:9825 SANDIFUR PARKWAY
Practice Address - Street 2:SUITE D
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301
Practice Address - Country:US
Practice Address - Phone:509-946-7525
Practice Address - Fax:509-628-8608
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health