Healthcare Provider Details
I. General information
NPI: 1285201830
Provider Name (Legal Business Name): HALEY FRANCES CUTLER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/10/2021
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
364 MCLAWS CIR STE 2
WILLIAMSBURG VA
23185-6340
US
IV. Provider business mailing address
364 MCLAWS CIR STE 2
WILLIAMSBURG VA
23185-6340
US
V. Phone/Fax
- Phone: 757-871-3256
- Fax:
- Phone: 757-879-9582
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 0704013938 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 0701012710 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: