Provider Demographics
NPI:1881403418
Name:FUERTE, HAYLI VIRGINIA
Entity type:Individual
Prefix:
First Name:HAYLI
Middle Name:VIRGINIA
Last Name:FUERTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HAYLI
Other - Middle Name:VIRGINIA
Other - Last Name:HUHTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 MURRAY LN
Mailing Address - Street 2:
Mailing Address - City:CARDWELL
Mailing Address - State:MT
Mailing Address - Zip Code:59721-9629
Mailing Address - Country:US
Mailing Address - Phone:425-420-7932
Mailing Address - Fax:
Practice Address - Street 1:108 N. FRONT STREET
Practice Address - Street 2:SUITE C
Practice Address - City:TOWNSEND, MT
Practice Address - State:MT
Practice Address - Zip Code:59644
Practice Address - Country:US
Practice Address - Phone:406-980-0672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-PCLC-LIC-78058101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional