Provider Demographics
NPI:1346656527
Name:HANEY, CHRISTINA MICHELLE (MA)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MICHELLE
Last Name:HANEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 FORREST CROSSING BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5429
Mailing Address - Country:US
Mailing Address - Phone:615-567-6726
Mailing Address - Fax:615-567-6729
Practice Address - Street 1:101 FORREST CROSSING BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5429
Practice Address - Country:US
Practice Address - Phone:615-567-6726
Practice Address - Fax:615-567-6729
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional