Provider Demographics
NPI:1003709320
Name:HALEY, DARRIN (LPC)
Entity type:Individual
Prefix:
First Name:DARRIN
Middle Name:
Last Name:HALEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DANIELSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30633-1107
Mailing Address - Country:US
Mailing Address - Phone:404-784-6743
Mailing Address - Fax:
Practice Address - Street 1:89 SOUTHWOOD DR
Practice Address - Street 2:
Practice Address - City:DANIELSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30633-1107
Practice Address - Country:US
Practice Address - Phone:404-784-6743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC014285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional