Provider Demographics
NPI:1144978438
Name:ESCARDA, HALIE LYNN (LMFT)
Entity type:Individual
Prefix:
First Name:HALIE
Middle Name:LYNN
Last Name:ESCARDA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 PEDRONI RD
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-7134
Mailing Address - Country:US
Mailing Address - Phone:818-808-5291
Mailing Address - Fax:
Practice Address - Street 1:1259 PEDRONI RD
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-7134
Practice Address - Country:US
Practice Address - Phone:818-808-5291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA131530106H00000X
CA144383106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist