Provider Demographics
NPI:1700647682
Name:FISHER, HAYLE ELIZABETH (MA, LPCC-S)
Entity Type:Individual
Prefix:MS
First Name:HAYLE
Middle Name:ELIZABETH
Last Name:FISHER
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1089 OAK ST
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-4043
Mailing Address - Country:US
Mailing Address - Phone:330-242-5334
Mailing Address - Fax:
Practice Address - Street 1:1089 OAK ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-4043
Practice Address - Country:US
Practice Address - Phone:330-242-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2202986-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty