Provider Demographics
NPI:1073980298
Name:HARRIS, STALINA (LMHC)
Entity type:Individual
Prefix:
First Name:STALINA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 70TH AVE SW TRLR 5
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7272
Mailing Address - Country:US
Mailing Address - Phone:564-237-2800
Mailing Address - Fax:564-237-2726
Practice Address - Street 1:2535 70TH AVE SW TRLR 5
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-7272
Practice Address - Country:US
Practice Address - Phone:564-237-2800
Practice Address - Fax:564-237-2726
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178011177101YP2500X
WALH61538132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional