Individual ProviderMarymike HaleyCounselorBehavioral Health & Social Service ProvidersPractice Address246 Garfield Ave, Carbondale, CO 81623-2133(970) 596-3377PECOS EnrollmentBased on the most recent information from CMS, provider Marymike Haley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1831646082Provider TypeIndividualFull NameHaley, MarymikeCredentialMA , LACGenderFemaleSole ProprietorYesEnumeration Date9/6/2016Last Updated9/6/2016Contact InformationPractice LocationPractice Address246 Garfield Ave, Carbondale, CO 81623-2133Phone(970) 596-3377FaxUnlisted FaxMailing LocationMailing Address246 Garfield Ave, Carbondale, CO 81623-2133Phone(970) 596-3377FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseNLC.0006576ColoradoCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseACB.0007777