Provider Demographics
NPI:1689355653
Name:PEPPER, HALEY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:PEPPER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4812 COMMERCIAL DR NW STE 111
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-2206
Mailing Address - Country:US
Mailing Address - Phone:256-518-9998
Mailing Address - Fax:
Practice Address - Street 1:4812 COMMERCIAL DR NW STE 111
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-2206
Practice Address - Country:US
Practice Address - Phone:256-518-9998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04940101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional