Healthcare Provider Details

I. General information

NPI: 1679377287
Provider Name (Legal Business Name): HALEY HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SADDLEBROOK CT
SILVER SPRING MD
20906-3351
US

IV. Provider business mailing address

3 SADDLEBROOK CT
SILVER SPRING MD
20906-3351
US

V. Phone/Fax

Practice location:
  • Phone: 240-994-8643
  • Fax:
Mailing address:
  • Phone: 240-994-8643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KADINE FOREMAN-WESTLY
Title or Position: OWNER
Credential: PMHNP
Phone: 240-994-8643