Provider Demographics
NPI:1932519154
Name:HARTLEY, ERIN PRIOR-GILLUNG (LMFT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:PRIOR-GILLUNG
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:HARTLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ERIN HARTLEY
Mailing Address - Street 1:7511 GREENWOOD AVE N UNIT 4337
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4627
Mailing Address - Country:US
Mailing Address - Phone:510-473-6263
Mailing Address - Fax:
Practice Address - Street 1:6421 49TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1332
Practice Address - Country:US
Practice Address - Phone:510-473-6263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1229-224106H00000X
TX203471106H00000X
ORT1570106H00000X
CALMFT90728106H00000X
COMFT0001566106H00000X
WA61131754106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist