Provider Demographics
NPI:1770351280
Name:HAKIM, LAYLA BESWARICK
Entity type:Individual
Prefix:
First Name:LAYLA
Middle Name:BESWARICK
Last Name:HAKIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAYLA
Other - Middle Name:ANNA
Other - Last Name:BESWARICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3201 5TH AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-1808
Mailing Address - Country:US
Mailing Address - Phone:415-994-7374
Mailing Address - Fax:
Practice Address - Street 1:3614 CALIFORNIA AVE SW STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3780
Practice Address - Country:US
Practice Address - Phone:206-705-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist