Provider Demographics
NPI:1962842831
Name:POLLARD, HAYLEY
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:POLLARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 N THORNTON AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8515
Mailing Address - Country:US
Mailing Address - Phone:706-529-5980
Mailing Address - Fax:706-529-5980
Practice Address - Street 1:1506 N THORNTON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8515
Practice Address - Country:US
Practice Address - Phone:706-529-5980
Practice Address - Fax:706-529-5980
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool