Healthcare Provider Details

I. General information

NPI: 1386560910
Provider Name (Legal Business Name): HAGGAI ALHAMDU HABILA LMHCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 BROADWAY STE 404
TACOMA WA
98402-4454
US

IV. Provider business mailing address

1012 31ST ST NW
PUYALLUP WA
98371-3721
US

V. Phone/Fax

Practice location:
  • Phone: 206-651-1498
  • Fax:
Mailing address:
  • Phone: 206-651-1498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.61658477
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: