Provider Demographics
NPI:1922467497
Name:DANNATT, HAILEY ANN
Entity Type:Individual
Prefix:MRS
First Name:HAILEY
Middle Name:ANN
Last Name:DANNATT
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:HAILEY
Other - Middle Name:ANN
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 W EXCHANGE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2834
Mailing Address - Country:US
Mailing Address - Phone:989-723-8239
Mailing Address - Fax:
Practice Address - Street 1:3035 TRAPPERS COVE TRL APT 3B
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-8513
Practice Address - Country:US
Practice Address - Phone:817-300-7947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker