Provider Demographics
NPI:1558193631
Name:DOTSON, HALEIGH BROOKE (LMSW)
Entity type:Individual
Prefix:
First Name:HALEIGH
Middle Name:BROOKE
Last Name:DOTSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 ARTESSA CIR APT 1202
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2516
Mailing Address - Country:US
Mailing Address - Phone:615-854-1476
Mailing Address - Fax:
Practice Address - Street 1:5217 MARYLAND WAY
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1400
Practice Address - Country:US
Practice Address - Phone:615-882-1792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14737104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker