Healthcare Provider Details

I. General information

NPI: 1184776585
Provider Name (Legal Business Name): LILITH MARIA HALPE M.A., LMHC, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 E MADISON ST STE 300
SEATTLE WA
98112-5416
US

IV. Provider business mailing address

107 24TH AVE E APT A
SEATTLE WA
98112-5438
US

V. Phone/Fax

Practice location:
  • Phone: 206-437-9857
  • Fax:
Mailing address:
  • Phone: 206-200-2021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH 60523778
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number17-062
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: