Provider Demographics
NPI:1104309947
Name:RITTENHOUSE, HALEY BARNETT (LPC-MHSP, ATR-BC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:BARNETT
Last Name:RITTENHOUSE
Suffix:
Gender:F
Credentials:LPC-MHSP, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 LIPTON CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1334
Mailing Address - Country:US
Mailing Address - Phone:773-791-7865
Mailing Address - Fax:
Practice Address - Street 1:2400 WHITE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2235
Practice Address - Country:US
Practice Address - Phone:615-460-4200
Practice Address - Fax:615-460-4202
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011200101YP2500X
IL178012686101YP2500X
TN4185101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional