Provider Demographics
NPI:1790221356
Name:PALLAY, LAUREN (MS, LMFT MHP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PALLAY
Suffix:
Gender:F
Credentials:MS, LMFT MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3716 N VILLARD ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-3524
Mailing Address - Country:US
Mailing Address - Phone:425-791-2025
Mailing Address - Fax:
Practice Address - Street 1:3716 N VILLARD ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-3524
Practice Address - Country:US
Practice Address - Phone:425-791-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG 60655899106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist