| Haley's Mind Of Care Services, Llc | |
|
1401 Saint James Rd Accokeek MD 20607-2922 | |
| (240) 429-5390 | |
| (240) 260-0743 |
| Full Name | Haley's Mind Of Care Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1401 Saint James Rd, Accokeek, Maryland |
| Authorized Official Name and Position | Emma Jean Norfleet-haley (PRESIDENT/CEO) |
| Authorized Official Contact | 2404234109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haley's Mind Of Care Services, Llc 12801 Old Fort Rd Ste. 303 Fort Washington MD 20744-2844 Ph: (240) 429-5390 | Haley's Mind Of Care Services, Llc 1401 Saint James Rd Accokeek MD 20607-2922 Ph: (240) 429-5390 |
| NPI Number | 1790125185 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Medicare PECOS PAC ID | 8224303987 |
|---|---|
| Medicare Enrollment ID | O20171005000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790125185 | NPI | - | NPPES |
| 740080 | Medicaid | MD | |
| 741080 | Medicaid | MD |
| Provider Name | Emma Norfleet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679752539 PECOS PAC ID: 4587939244 Enrollment ID: I20171005000811 |
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