Provider Demographics
NPI:1891367470
Name:INNES, HAILEY (LPC)
Entity Type:Individual
Prefix:MS
First Name:HAILEY
Middle Name:
Last Name:INNES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S ALMA DR STE 300
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3774
Mailing Address - Country:US
Mailing Address - Phone:816-507-5994
Mailing Address - Fax:
Practice Address - Street 1:203 S ALMA DR STE 300
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3774
Practice Address - Country:US
Practice Address - Phone:816-507-5994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74387101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional