Provider Demographics
NPI:1013764257
Name:RAWLINGS, HALEY MARLYCE (MS, LPC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MARLYCE
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-4835
Mailing Address - Country:US
Mailing Address - Phone:307-871-7267
Mailing Address - Fax:
Practice Address - Street 1:390 CLARK ST
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-4835
Practice Address - Country:US
Practice Address - Phone:307-871-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2090101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health