Provider Demographics
NPI:1376137000
Name:STROUD, HALEY R (LICSW, PLADC, MSCJ)
Entity Type:Individual
Prefix:MS
First Name:HALEY
Middle Name:R
Last Name:STROUD
Suffix:
Gender:F
Credentials:LICSW, PLADC, MSCJ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3076 STEPHANOS DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1642
Mailing Address - Country:US
Mailing Address - Phone:402-915-8344
Mailing Address - Fax:
Practice Address - Street 1:13520 DISCOVERY DR STE 202
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3002
Practice Address - Country:US
Practice Address - Phone:402-915-8344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12193101YM0800X
NE7474104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health