Provider Demographics
NPI:1174174254
Name:ALKHAFAJI, HAYLEY MARIE (LMSW-C)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MARIE
Last Name:ALKHAFAJI
Suffix:
Gender:F
Credentials:LMSW-C
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:MARIE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW-C
Mailing Address - Street 1:233 CANNELLE CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4587
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1015 S BROADWAY STE 18
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4667
Practice Address - Country:US
Practice Address - Phone:701-857-8500
Practice Address - Fax:701-857-8555
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND57811041C0700X
MI68011155981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical