Provider Demographics
NPI:1386780054
Name:HULL, PIA (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:PIA
Middle Name:
Last Name:HULL
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 S 12TH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3109
Mailing Address - Country:US
Mailing Address - Phone:509-452-5300
Mailing Address - Fax:509-966-4577
Practice Address - Street 1:411 S 12TH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3109
Practice Address - Country:US
Practice Address - Phone:509-452-5300
Practice Address - Fax:509-966-4577
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007865101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health