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Haley Dyan Morgan Shepard

Counselor

Behavioral Health & Social Service Providers

14949 62nd St N, Stillwater, MN 55082-6132

PECOS Enrollment

This provider is enrolled in PECOS as HALEY MORGAN SHEPARD.

Based on the most recent information from CMS, provider Haley Dyan Morgan Shepard is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1255956496
Provider Type
Individual
Full Name
Morgan Shepard, Haley Dyan
Credential
LPCC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/13/2020
Last Updated
6/13/2020

Contact Information

Practice Location

14949 62nd St N, Stillwater, MN 55082-6132

(651) 430-8344

(651) 430-6527

Mailing Location

14949 62nd St N, Stillwater, MN 55082-6132

(651) 430-8344

(651) 430-6527

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CC02297 Minnesota

Haley Dyan Morgan Shepard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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