Provider Demographics
NPI:1700649753
Name:HALEY, APRIL (LMFT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:HALEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 CLAIRBORNE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-7571
Mailing Address - Country:US
Mailing Address - Phone:901-230-7765
Mailing Address - Fax:
Practice Address - Street 1:1560 E SOUTHLAKE BLVD STE 131
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6456
Practice Address - Country:US
Practice Address - Phone:901-230-7765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203901106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist