Provider Demographics
NPI:1457189102
Name:DAVIS, HAYLEY E (MHS, MA)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:E
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MHS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2188
Mailing Address - Country:US
Mailing Address - Phone:502-585-9911
Mailing Address - Fax:
Practice Address - Street 1:327 EASTBROOKE POINTE DR STE 200
Practice Address - Street 2:
Practice Address - City:MT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-5577
Practice Address - Country:US
Practice Address - Phone:502-538-5090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth