Provider Demographics
NPI:1497492102
Name:HALEY, MARGARET ERIN (MED)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ERIN
Last Name:HALEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 ROOSEVELT BLVD APT A718
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-6509
Mailing Address - Country:US
Mailing Address - Phone:843-697-1291
Mailing Address - Fax:
Practice Address - Street 1:1807 BELMONT RD NW STE 207
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-8104
Practice Address - Country:US
Practice Address - Phone:301-775-3201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-14
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC200001228101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health