Organization
HALEY'S MIND OF CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA JEAN NORFLEET PSYD (PRESIDENT/CEO)
(240) 429-5390
Entity
Organization
Contact information
Practice address
12801 OLD FORT RD, STE 303, FORT WASHINGTON, MD 20744-2844
(240) 429-5390
(240) 260-0743
Mailing address
16701 MELFORD BLVD, STE. 400, BOWIE, MD 20715-4305
(240) 429-5390
(240) 260-0743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13112
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741080
—
MD
Enumeration date
08/18/2016
Last updated
08/18/2016
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