| Haley's Mind Of Care Services, Llc | |
|
12801 Old Fort Rd Ste 303 Fort Washington MD 20744-2844 | |
| (240) 429-5390 | |
| (240) 260-0743 |
| Full Name | Haley's Mind Of Care Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12801 Old Fort Rd, Fort Washington, Maryland |
| Authorized Official Name and Position | Emma Jean Norfleet (PRESIDENT/CEO) |
| Authorized Official Contact | 2404295390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haley's Mind Of Care Services, Llc 16701 Melford Blvd Ste. 400 Bowie MD 20715-4305 Ph: (240) 429-5390 | Haley's Mind Of Care Services, Llc 12801 Old Fort Rd Ste 303 Fort Washington MD 20744-2844 Ph: (240) 429-5390 |
| NPI Number | 1790230878 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790230878 | NPI | - | NPPES |
| 741080 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13112 (Maryland) | Primary |
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