Provider Demographics
NPI:1851070213
Name:HAINLEY, AMBER KENYA (TARGETED CASE MANAGE)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:KENYA
Last Name:HAINLEY
Suffix:
Gender:F
Credentials:TARGETED CASE MANAGE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 W SHORT ST STE 508
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40507-1214
Mailing Address - Country:US
Mailing Address - Phone:859-310-6505
Mailing Address - Fax:
Practice Address - Street 1:271 W SHORT ST STE 508
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1214
Practice Address - Country:US
Practice Address - Phone:859-310-6505
Practice Address - Fax:859-310-6505
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)