Provider Demographics
NPI:1760075675
Name:CHILDERS, HALEY LEIGH (LSW, ACHP- SW)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:LEIGH
Last Name:CHILDERS
Suffix:
Gender:F
Credentials:LSW, ACHP- SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 WILKINS AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217
Mailing Address - Country:US
Mailing Address - Phone:304-906-6959
Mailing Address - Fax:
Practice Address - Street 1:6507 WILKINS AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217
Practice Address - Country:US
Practice Address - Phone:412-335-1427
Practice Address - Fax:412-223-4353
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128899104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker