Provider Demographics
NPI:1619314952
Name:RAYNER, HAYLEY MARIE (LPC-S)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MARIE
Last Name:RAYNER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 N BURKHART RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-8721
Mailing Address - Country:US
Mailing Address - Phone:517-618-7590
Mailing Address - Fax:517-338-0754
Practice Address - Street 1:5333 N BURKHART RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48855-8721
Practice Address - Country:US
Practice Address - Phone:517-618-7590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013649101YM0800X
AZLPC19941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health