Provider Demographics
NPI:1881369767
Name:WILLIAMS, HAILEY LANE (LMSW)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:LANE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-3323
Mailing Address - Country:US
Mailing Address - Phone:208-908-1536
Mailing Address - Fax:
Practice Address - Street 1:750 S RANGE AVE
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-2905
Practice Address - Country:US
Practice Address - Phone:785-462-6774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool