Healthcare Provider Details

I. General information

NPI: 1801226782
Provider Name (Legal Business Name): HAILEY MICHIKO OKAMOTO LCMHCS, LCAS, CCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2013
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 TOWERVIEW CT
CARY NC
27513-3595
US

IV. Provider business mailing address

664 THE PARKS DR
PITTSBORO NC
27312-4185
US

V. Phone/Fax

Practice location:
  • Phone: 919-564-6510
  • Fax:
Mailing address:
  • Phone: 919-798-3128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA9539
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: