Healthcare Provider Details

I. General information

NPI: 1144978438
Provider Name (Legal Business Name): HALIE LYNN ESCARDA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1259 PEDRONI RD
MCKINLEYVILLE CA
95519-7134
US

IV. Provider business mailing address

1259 PEDRONI RD
MCKINLEYVILLE CA
95519-7134
US

V. Phone/Fax

Practice location:
  • Phone: 818-808-5291
  • Fax:
Mailing address:
  • Phone: 818-808-5291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number131530
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number144383
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: