Provider Demographics
NPI:1689357600
Name:PLATTE, HALIE
Entity Type:Individual
Prefix:
First Name:HALIE
Middle Name:
Last Name:PLATTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 STIRLING AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1314
Mailing Address - Country:US
Mailing Address - Phone:151-728-2785
Mailing Address - Fax:
Practice Address - Street 1:1612 STIRLING AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1314
Practice Address - Country:US
Practice Address - Phone:151-728-2785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling