Provider Demographics
NPI:1962229179
Name:BROWN, HAILEY (MS, LPC-MHSP)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6373 N QUAIL HOLLOW RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-1405
Mailing Address - Country:US
Mailing Address - Phone:901-441-8322
Mailing Address - Fax:
Practice Address - Street 1:6373 N QUAIL HOLLOW RD STE 202
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1405
Practice Address - Country:US
Practice Address - Phone:901-443-8925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7392101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health