Provider Demographics
NPI:1417445529
Name:HANEY, ALEXANDER (MA, LPC-MSHP (TEMP))
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:HANEY
Suffix:
Gender:M
Credentials:MA, LPC-MSHP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1517
Mailing Address - Country:US
Mailing Address - Phone:615-321-2575
Mailing Address - Fax:615-327-4536
Practice Address - Street 1:2410 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1517
Practice Address - Country:US
Practice Address - Phone:615-321-2575
Practice Address - Fax:615-327-4536
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4171101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)