Individual
HALEY WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
34 W COLT SQUARE DR STE 1, FAYETTEVILLE, AR 72703-2888
(479) 595-0333
Mailing address
34 W COLT SQUARE DR STE 1, FAYETTEVILLE, AR 72703-2888
(479) 595-0333
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AR
Enumeration date
01/06/2021
Last updated
02/05/2025
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