Healthcare Provider Details

I. General information

NPI: 1770370876
Provider Name (Legal Business Name): HALEY ANN HYDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 FAYETTE CTR
WASHINGTON COURT HOUSE OH
43160-2120
US

IV. Provider business mailing address

3800 HAMBURG RD SW
LANCASTER OH
43130-9687
US

V. Phone/Fax

Practice location:
  • Phone: 740-335-8228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.194593
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: