Provider Demographics
NPI:1023453552
Name:HAILE, DANIEL FERRELL (LMFT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FERRELL
Last Name:HAILE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 NISSAN DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-4311
Mailing Address - Country:US
Mailing Address - Phone:615-462-6673
Mailing Address - Fax:615-462-6657
Practice Address - Street 1:437 NISSAN DR
Practice Address - Street 2:STE 500
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4311
Practice Address - Country:US
Practice Address - Phone:615-462-6637
Practice Address - Fax:615-462-6657
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN888106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist