Provider Demographics
NPI:1265253025
Name:WOHNER, HALEY M
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:M
Last Name:WOHNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10108 JOHN ASHLEY CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-5867
Mailing Address - Country:US
Mailing Address - Phone:502-593-4155
Mailing Address - Fax:
Practice Address - Street 1:9400 WILLIAMSBURG PLZ STE 320
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-6016
Practice Address - Country:US
Practice Address - Phone:859-251-8782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY284062106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist