Provider Demographics
NPI:1194305110
Name:HAREN, HALEY M (LPCC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:M
Last Name:HAREN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:SHADLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4895 DRESSLER RD NW STE A
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2571
Mailing Address - Country:US
Mailing Address - Phone:330-493-0083
Mailing Address - Fax:330-493-3689
Practice Address - Street 1:1303 W MAPLE ST STE 102
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-2858
Practice Address - Country:US
Practice Address - Phone:330-574-9134
Practice Address - Fax:330-775-7889
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2505025101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health