Healthcare Provider Details

I. General information

NPI: 1346697778
Provider Name (Legal Business Name): HALENE WAYTES LPC, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8005 MAIN ST STE 3
DEXTER MI
48130-1027
US

IV. Provider business mailing address

8190 WINANS LAKE RD
BRIGHTON MI
48116-8222
US

V. Phone/Fax

Practice location:
  • Phone: 313-744-2497
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401014448
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6401014448
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401014448
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: