Provider Demographics
NPI:1558057505
Name:ROBERTS BEACH, HALEY ADAIR (LCMHC, MA)
Entity Type:Individual
Prefix:MS
First Name:HALEY
Middle Name:ADAIR
Last Name:ROBERTS BEACH
Suffix:
Gender:F
Credentials:LCMHC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6425 S US HIGHWAY 231
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-9487
Mailing Address - Country:US
Mailing Address - Phone:765-866-2023
Mailing Address - Fax:
Practice Address - Street 1:6425 S US HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-9487
Practice Address - Country:US
Practice Address - Phone:765-376-4689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001895A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health