Provider Demographics
NPI:1558242172
Name:HALEY SCOTT COUNSELING, LLC
Entity type:Organization
Organization Name:HALEY SCOTT COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:E SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-923-9391
Mailing Address - Street 1:15 GORDON ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-5263
Mailing Address - Country:US
Mailing Address - Phone:978-923-9391
Mailing Address - Fax:
Practice Address - Street 1:76 BEDFORD ST STE 25
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-4641
Practice Address - Country:US
Practice Address - Phone:978-923-9391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty