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NPI Code Detail

MEDICARE: HALEY PICKING

MEDICARE:   HALEY  PICKING
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
1101YM0800XMental Health Counselor99131180AIN

General Provider Information

NPI Number : 1841184926
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY PICKING
Provider Business Mailing Address
First Line : 2519 E 8TH ST
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47408-4214
Country : US
Telephone Number : 574-612-7604
Fax Number :
Provider Business Practice Location Address
First Line : 4307 S LEONARD SPRINGS RD
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-4078
Country : US
Telephone Number : 812-223-7186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2025
Last Update Date : 06/04/2025

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Directions to “ HALEY PICKING ” Practice Location

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