Individual provider · Type 1 NPI

Haylie Grace Roark, MHP

Mental Health Counselor · Effingham, IL

NPI number 1306752076 Active

Practice location

1901 S 4th St Ste 213
Effingham, IL 62401-4188

Fax (217) 347-5897

Mailing address

4491 E Golf Ln
Olney, IL 62450-4037

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306752076

Haylie Grace Roark, MHP's National Provider Identifier is 1306752076, issued on Aug 21, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Effingham, IL. The record was last updated on Aug 21, 2026.