Provider Demographics
NPI:1427529924
Name:WILK, HALEY LYNN (MS, LMHC, ESMHL)
Entity type:Individual
Prefix:MS
First Name:HALEY
Middle Name:LYNN
Last Name:WILK
Suffix:
Gender:F
Credentials:MS, LMHC, ESMHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ABBOTTS CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-8461
Mailing Address - Country:US
Mailing Address - Phone:401-215-3952
Mailing Address - Fax:
Practice Address - Street 1:5805 POST RD
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-2173
Practice Address - Country:US
Practice Address - Phone:401-475-9979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-09
Last Update Date:2018-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health