Provider Demographics
NPI:1477693745
Name:HALES, JOE RAYBURN II (BS, EMT)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:RAYBURN
Last Name:HALES
Suffix:II
Gender:M
Credentials:BS, EMT
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Mailing Address - Street 1:10874 MILLINGTON ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-9641
Mailing Address - Country:US
Mailing Address - Phone:901-252-1276
Mailing Address - Fax:901-252-7680
Practice Address - Street 1:5515 SHELBY OAKS DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7316
Practice Address - Country:US
Practice Address - Phone:901-252-1276
Practice Address - Fax:901-252-7680
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health