Provider Demographics
NPI:1023548625
Name:COHEE, HALEY MARIE I (LISW, LCSW)
Entity type:Individual
Prefix:MISS
First Name:HALEY
Middle Name:MARIE
Last Name:COHEE
Suffix:I
Gender:F
Credentials:LISW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2919 W SWANN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4050
Mailing Address - Country:US
Mailing Address - Phone:813-381-5200
Mailing Address - Fax:813-381-5200
Practice Address - Street 1:2919 W SWANN AVE STE 201
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4050
Practice Address - Country:US
Practice Address - Phone:813-318-5200
Practice Address - Fax:813-318-5200
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1700290104100000X
FLSW241091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1473276Medicaid