Individual ProviderGayland HadeCounselorBehavioral Health & Social Service ProvidersPractice Address15244 118th Ave NE, Kirkland, WA 98034-4611(206) 792-6782PECOS EnrollmentBased on the most recent information from CMS, provider Gayland Hade does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003351875Provider TypeIndividualFull NameHade, GaylandGenderMaleSole ProprietorNoEnumeration Date1/3/2017Last Updated7/15/2021Contact InformationPractice LocationPractice Address15244 118th Ave NE, Kirkland, WA 98034-4611Phone(206) 792-6782FaxUnlisted FaxMailing LocationMailing Address15244 118th Ave NE, Kirkland, WA 98034-4611Phone(206) 792-6782Fax(206) 302-2210Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMC61007868Washington