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General NPI Number Information
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NPI Number | 1790125185
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Entity Type | Organization
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Legal Business Name | HALEY'S MIND OF CARE SERVICES, LLC
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 1401 SAINT JAMES RD
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City | ACCOKEEK
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State | MD
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Zip | 20607-2922
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Country | US
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Telephone | 240-429-5390
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Fax | 240-260-0743
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Provider Business Mailing Address
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Address Line | 12801 OLD FORT RD STE. 303
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-2844
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Country | US
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Telephone | 240-429-5390
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Fax | 240-260-0743
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. EMMA JEAN NORFLEET-HALEY
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Credential |
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Telephone | 240-423-4109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC302808
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13112
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License Number State | MD
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