Provider Demographics
NPI:1083193809
Name:CHANEY, HALEY LEIGH-ANN (LCSWA)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:LEIGH-ANN
Last Name:CHANEY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 AYDEN RD
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-2405
Mailing Address - Country:US
Mailing Address - Phone:336-932-8246
Mailing Address - Fax:
Practice Address - Street 1:131 PLANT ST
Practice Address - Street 2:
Practice Address - City:WALNUT COVE
Practice Address - State:NC
Practice Address - Zip Code:27052-9223
Practice Address - Country:US
Practice Address - Phone:336-536-1024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0126981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical