Healthcare Provider Details

I. General information

NPI: 1669012894
Provider Name (Legal Business Name): HAYLEY ANN LE COUNT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date: 06/11/2025
Reactivation Date: 02/18/2026

III. Provider practice location address

2011 W KATELLA AVE UNIT 34
ANAHEIM CA
92804-6539
US

IV. Provider business mailing address

2011 W KATELLA AVE UNIT 34
ANAHEIM CA
92804-6539
US

V. Phone/Fax

Practice location:
  • Phone: 754-368-0237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY35870
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: