Provider Demographics
NPI:1740046424
Name:BEARD, HAILEY (LMHC)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:BEARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 WILLOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3084
Mailing Address - Country:US
Mailing Address - Phone:330-419-3775
Mailing Address - Fax:
Practice Address - Street 1:1238 WILLOW BEND DR
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3084
Practice Address - Country:US
Practice Address - Phone:330-419-3775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH23377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health