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General NPI Number Information
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NPI Number | 1730046079
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Entity Type | Organization
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Legal Business Name | HAILEY WELLER LLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 408 ALLEGHENY AVE
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City | TOWSON
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State | MD
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Zip | 21204-4252
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Country | US
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Telephone | 410-231-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 408 ALLEGHENY AVE
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City | TOWSON
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State | MD
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Zip | 21204-4252
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Country | US
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Telephone | 410-231-3773
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | HAILEY WELLER
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Credential | LPC, LCPC, NCC
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Telephone | 410-231-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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