Healthcare Provider Details

I. General information

NPI: 1518787688
Provider Name (Legal Business Name): HALEY CARTRETTE LCSW-A, LCAS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 SPRINGDALE DR
EXTON PA
19341-2941
US

IV. Provider business mailing address

2615 BROADBILL LN UNIT A
WILMINGTON NC
28409-2767
US

V. Phone/Fax

Practice location:
  • Phone: 610-344-9600
  • Fax:
Mailing address:
  • Phone: 610-344-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-30116
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP021215
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP021215
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: