Provider Demographics
NPI:1467093120
Name:QUINONEZ, HAYLEY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:QUINONEZ
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:6809 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-3039
Mailing Address - Country:US
Mailing Address - Phone:214-577-4730
Mailing Address - Fax:
Practice Address - Street 1:6809 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-3039
Practice Address - Country:US
Practice Address - Phone:214-577-4730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75115101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty