Provider Demographics
NPI:1366128068
Name:MCNEAL, HALLEY LANE (LMSW)
Entity type:Individual
Prefix:
First Name:HALLEY
Middle Name:LANE
Last Name:MCNEAL
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 1:16751 CARTER CIR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-8323
Mailing Address - Country:US
Mailing Address - Phone:256-777-7748
Mailing Address - Fax:
Practice Address - Street 1:3309 BOB WALLACE AVE SW STE 1
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4007
Practice Address - Country:US
Practice Address - Phone:256-686-9195
Practice Address - Fax:256-304-5381
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5663G1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical