Provider Demographics
NPI:1407618614
Name:VISE, HALEY DONAHUE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:HALEY
Middle Name:DONAHUE
Last Name:VISE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 ARBORETUM CIR APT H
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3117
Mailing Address - Country:US
Mailing Address - Phone:205-515-3058
Mailing Address - Fax:
Practice Address - Street 1:1801 ARBORETUM CIR APT H
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-3117
Practice Address - Country:US
Practice Address - Phone:205-515-3058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5383C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical