Provider Demographics
NPI:1982966701
Name:TROTTER, HALEIGH (LCSW)
Entity Type:Individual
Prefix:
First Name:HALEIGH
Middle Name:
Last Name:TROTTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 MEDICAL CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:AR
Mailing Address - Zip Code:72031-7946
Mailing Address - Country:US
Mailing Address - Phone:870-448-5733
Mailing Address - Fax:
Practice Address - Street 1:8 WILSON FARM RD STE D
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058-8200
Practice Address - Country:US
Practice Address - Phone:501-332-4337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR104100000X, 171M00000X
AR6887-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator