Provider Demographics
NPI:1174680029
Name:PRATTON, VICKY HAYNES (LMHC)
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:HAYNES
Last Name:PRATTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10099
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32524-0099
Mailing Address - Country:US
Mailing Address - Phone:850-449-3644
Mailing Address - Fax:850-494-0817
Practice Address - Street 1:9511 HOLSBERRY RD
Practice Address - Street 2:SUITE B-7
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-1319
Practice Address - Country:US
Practice Address - Phone:850-449-3644
Practice Address - Fax:850-494-0817
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0001388101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health