Individual
MARY BETH HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS-MH/P, CHW
Contact information
Practice address
2097 TOWNSHIP DR, WOODSTOCK, GA 30189-5283
(770) 524-4669
Mailing address
2097 TOWNSHIP DR, WOODSTOCK, GA 30189-5283
(770) 524-4669
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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