Healthcare Provider Details

I. General information

NPI: 1295655447
Provider Name (Legal Business Name): JENNY HAYSE THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6823 OSWEGO PL NE APT 301
SEATTLE WA
98115-8407
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE N
SPOKANE WA
99201-0581
US

V. Phone/Fax

Practice location:
  • Phone: 425-312-3093
  • Fax:
Mailing address:
  • Phone: 425-312-3093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIFER HAYSE
Title or Position: MANAGING MEMBER
Credential:
Phone: 425-312-3093