Provider Demographics
NPI:1992533814
Name:HARTMAN, HALEY K (LMSW)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:K
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 MESQUITE TREE APT B
Mailing Address - Street 2:
Mailing Address - City:ELM MOTT
Mailing Address - State:TX
Mailing Address - Zip Code:76640-3852
Mailing Address - Country:US
Mailing Address - Phone:254-723-9507
Mailing Address - Fax:
Practice Address - Street 1:2010 MESQUITE TREE APT B
Practice Address - Street 2:
Practice Address - City:ELM MOTT
Practice Address - State:TX
Practice Address - Zip Code:76640-3852
Practice Address - Country:US
Practice Address - Phone:254-723-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113876104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker