Provider Demographics
NPI:1932912797
Name:JENNINGS, HALEY HELMS (MS, ALC, NCC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:HELMS
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:MS, ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 GROVES PASS SE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-8709
Mailing Address - Country:US
Mailing Address - Phone:256-689-0386
Mailing Address - Fax:
Practice Address - Street 1:1106 WOODSTOCK AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4709
Practice Address - Country:US
Practice Address - Phone:256-689-0386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04367101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional