Provider Demographics
NPI:1881004018
Name:SLY-HALEY, HEATHER NOEL (MAT, MSC, NCC, LPCI)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:NOEL
Last Name:SLY-HALEY
Suffix:
Gender:F
Credentials:MAT, MSC, NCC, LPCI
Other - Prefix:MRS
Other - First Name:HEATHER
Other - Middle Name:NOEL
Other - Last Name:HALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:805 LIBERTY ST NE STE 2
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-2463
Mailing Address - Country:US
Mailing Address - Phone:971-720-7702
Mailing Address - Fax:
Practice Address - Street 1:805 LIBERTY ST NE STE 2
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2463
Practice Address - Country:US
Practice Address - Phone:971-720-7702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist