Provider Demographics
NPI:1073223020
Name:NEAL, HALEY (CADC)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:MS
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADC
Mailing Address - Street 1:4906 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-8849
Mailing Address - Country:US
Mailing Address - Phone:515-419-7555
Mailing Address - Fax:
Practice Address - Street 1:1300 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-3222
Practice Address - Country:US
Practice Address - Phone:515-280-4903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22166101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)