Provider Demographics
NPI:1588328330
Name:DAMRON, HALEY PIPPINS (LCMHCA, LCASA)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:PIPPINS
Last Name:DAMRON
Suffix:
Gender:F
Credentials:LCMHCA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-1151
Mailing Address - Country:US
Mailing Address - Phone:252-582-6072
Mailing Address - Fax:
Practice Address - Street 1:118 W MARKET ST
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944-1151
Practice Address - Country:US
Practice Address - Phone:252-582-6072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27307101YA0400X
NCA17050101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)