Healthcare Provider Details

I. General information

NPI: 1780100560
Provider Name (Legal Business Name): HAYLI EVANS LMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22543 VENTURA BLVD SUITE 220 UNIT #548
WOODLAND HILLS CA
91364
US

IV. Provider business mailing address

22543 VENTURA BLVD SUITE 220 UNIT #548
WOODLAND HILLS CA
91364
US

V. Phone/Fax

Practice location:
  • Phone: 818-237-3498
  • Fax:
Mailing address:
  • Phone: 818-237-3498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT118692
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: