Provider Demographics
NPI:1124573803
Name:O'BRIEN, HAYLEY (MA)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 S ARLINGTON RIDGE RD
Mailing Address - Street 2:APT 205
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-1955
Mailing Address - Country:US
Mailing Address - Phone:845-558-9472
Mailing Address - Fax:
Practice Address - Street 1:2200 WILSON BLVD
Practice Address - Street 2:SUITE 412
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-3397
Practice Address - Country:US
Practice Address - Phone:571-328-7408
Practice Address - Fax:844-249-5577
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health