Provider Demographics
NPI:1508299355
Name:ALLEN-BLAKNEY, HAYLEY S (LCSW)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:S
Last Name:ALLEN-BLAKNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:S
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 451
Mailing Address - Street 2:
Mailing Address - City:THOMPSON FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59873-0451
Mailing Address - Country:US
Mailing Address - Phone:406-396-2267
Mailing Address - Fax:
Practice Address - Street 1:2504 TRADEWINDS WAY
Practice Address - Street 2:
Practice Address - City:THOMPSON FALLS
Practice Address - State:MT
Practice Address - Zip Code:59873
Practice Address - Country:US
Practice Address - Phone:406-396-2267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCSW-10551041C0700X
MTBBH-LIC-LCSW-10551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical