Provider Demographics
NPI:1053055665
Name:HALEY, VERONICA (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:HALEY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6455 N UNION BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-5844
Mailing Address - Country:US
Mailing Address - Phone:719-203-9692
Mailing Address - Fax:719-258-1461
Practice Address - Street 1:6455 N UNION BLVD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5844
Practice Address - Country:US
Practice Address - Phone:719-203-9692
Practice Address - Fax:719-258-1461
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009922608104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker