Provider Demographics
NPI:1932651643
Name:SMITH, HAYLEY (MS, CACII)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS, CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 SEBRING DR APT 306
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-0072
Mailing Address - Country:US
Mailing Address - Phone:509-209-3340
Mailing Address - Fax:
Practice Address - Street 1:110 COURT AVE W
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646
Practice Address - Country:US
Practice Address - Phone:864-407-4160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)