Healthcare Provider Details

I. General information

NPI: 1215640578
Provider Name (Legal Business Name): HAILEY ELIZABETH KLINE LPCMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAILEY ELIZABETH REED

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 MAPLETON AVE STE 200
MIDDLETOWN DE
19709-1560
US

IV. Provider business mailing address

735 MAPLETON AVE STE 200
MIDDLETOWN DE
19709-1560
US

V. Phone/Fax

Practice location:
  • Phone: 833-815-2187
  • Fax: 302-224-1402
Mailing address:
  • Phone: 833-815-2187
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC17527
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0012130
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: