Healthcare Provider Details

I. General information

NPI: 1982108171
Provider Name (Legal Business Name): HALEY MARIE ACRA MS, LMHC, MHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 4TH AVE STE 1850
SEATTLE WA
98121-2360
US

IV. Provider business mailing address

1616 CORNWALL AVE STE 205
BELLINGHAM WA
98225-4642
US

V. Phone/Fax

Practice location:
  • Phone: 415-202-5159
  • Fax:
Mailing address:
  • Phone: 360-676-6177
  • Fax: 360-671-3574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC015060
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60990398
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: