Provider Demographics
NPI:1023756129
Name:EDWARDS, HALEIGH KATHLEEN (MS, LAC, NCC)
Entity type:Individual
Prefix:
First Name:HALEIGH
Middle Name:KATHLEEN
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MS, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8240 NORA LN
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-9693
Mailing Address - Country:US
Mailing Address - Phone:918-521-7989
Mailing Address - Fax:
Practice Address - Street 1:7509 CANTRELL RD STE 205
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-2500
Practice Address - Country:US
Practice Address - Phone:501-396-9308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2108003101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional