Provider Demographics
NPI:1841092582
Name:LIMBACH, HAYLEY (MA, LPC, ATR)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:LIMBACH
Suffix:
Gender:
Credentials:MA, LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 PORTIS AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-2025
Mailing Address - Country:US
Mailing Address - Phone:308-293-1480
Mailing Address - Fax:
Practice Address - Street 1:3219 PORTIS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-2025
Practice Address - Country:US
Practice Address - Phone:308-293-1480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO24-441221700000X
MO2025007772103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist