Provider Demographics
NPI:1275260416
Name:OBERHOLZER, HALEY LYNN (ALC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:LYNN
Last Name:OBERHOLZER
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3083 ALTALOMA CV
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4212
Mailing Address - Country:US
Mailing Address - Phone:205-732-7200
Mailing Address - Fax:
Practice Address - Street 1:2129 RICHARD ARRINGTON JR BLVD S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-1256
Practice Address - Country:US
Practice Address - Phone:205-732-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional