Provider Demographics
NPI:1679159610
Name:SECHELSKI, HALEY (MA, LMFT)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:SECHELSKI
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 WILLIAM D FITCH PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6161
Mailing Address - Country:US
Mailing Address - Phone:936-228-9442
Mailing Address - Fax:
Practice Address - Street 1:547 WILLIAM D FITCH PKWY STE 103
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6161
Practice Address - Country:US
Practice Address - Phone:936-228-9442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202820106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20194735OtherDRIVERS LICENSE