Provider Demographics
NPI:1992478895
Name:SAOLE, SAOMALIE FA'ASE (BA)
Entity type:Individual
Prefix:
First Name:SAOMALIE
Middle Name:FA'ASE
Last Name:SAOLE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13212 98TH AVENUE CT E APT B
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-9119
Mailing Address - Country:US
Mailing Address - Phone:253-241-3422
Mailing Address - Fax:
Practice Address - Street 1:13212 98TH AVENUE CT E APT B
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-9119
Practice Address - Country:US
Practice Address - Phone:253-241-3422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist