Healthcare Provider Details

I. General information

NPI: 1992618920
Provider Name (Legal Business Name): HALEY KLAMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 PACKARD HWY
CHARLOTTE MI
48813-9717
US

IV. Provider business mailing address

4965 CAMPUS HILL DR APT A103
OKEMOS MI
48864-1419
US

V. Phone/Fax

Practice location:
  • Phone: 517-543-5500
  • Fax:
Mailing address:
  • Phone: 989-550-4102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberSS0000001247781
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851121857
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: