Provider Demographics
NPI:1073310363
Name:REESE, HALEY V (MSW)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:V
Last Name:REESE
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 MERIWEATHER DR STE 109
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-7787
Mailing Address - Country:US
Mailing Address - Phone:706-883-5300
Mailing Address - Fax:
Practice Address - Street 1:1691 MERIWEATHER DR STE 109
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-7787
Practice Address - Country:US
Practice Address - Phone:706-883-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW011753104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker