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NPI Code Detail

MEDICARE: HALEY D BELLER BS

MEDICARE: HALEY D BELLER BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1366300733
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY D BELLER BS
Provider Business Mailing Address
First Line : 14 DOUGLAS DR
Second Line :
City : SOUTH CHARLESTON
State : WV
Zip : 25309-9634
Country : US
Telephone Number : 304-644-1555
Fax Number :
Provider Business Practice Location Address
First Line : 1206 QUARRIER ST
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-1843
Country : US
Telephone Number : 304-513-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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