Provider Demographics
NPI:1073240230
Name:BISHOP, HALEY (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:
Last Name:BISHOP
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N MCKENZIE ST STE B
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3544
Mailing Address - Country:US
Mailing Address - Phone:251-943-1777
Mailing Address - Fax:251-252-5656
Practice Address - Street 1:805 N MCKENZIE ST STE B
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3544
Practice Address - Country:US
Practice Address - Phone:251-943-1777
Practice Address - Fax:251-252-5656
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-06
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5813G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker