Provider Demographics
NPI:1306224720
Name:PEASLEE, HAEDEN (LMHC #11069)
Entity type:Individual
Prefix:
First Name:HAEDEN
Middle Name:
Last Name:PEASLEE
Suffix:
Gender:M
Credentials:LMHC #11069
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-0042
Mailing Address - Country:US
Mailing Address - Phone:617-294-9674
Mailing Address - Fax:857-362-1603
Practice Address - Street 1:130 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-1434
Practice Address - Country:US
Practice Address - Phone:617-294-9674
Practice Address - Fax:857-362-1603
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA11069OtherLMHC BOARD