Provider Demographics
NPI:1801218599
Name:HALE, MAIYA MARILEE (LMHC, MHP, NCC)
Entity Type:Individual
Prefix:MRS
First Name:MAIYA
Middle Name:MARILEE
Last Name:HALE
Suffix:
Gender:F
Credentials:LMHC, MHP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 CENTRAL AVE N STE C209
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2016
Mailing Address - Country:US
Mailing Address - Phone:253-242-3646
Mailing Address - Fax:
Practice Address - Street 1:841 CENTRAL AVE N STE C209
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2016
Practice Address - Country:US
Practice Address - Phone:253-242-3646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WALH60799160101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor