Provider Demographics
NPI:1942914726
Name:LEMIEUX, HAYLEY MARIE (LLMSW)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MARIE
Last Name:LEMIEUX
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14580 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARNE
Mailing Address - State:MI
Mailing Address - Zip Code:49435-9755
Mailing Address - Country:US
Mailing Address - Phone:616-498-7426
Mailing Address - Fax:
Practice Address - Street 1:471 W SOUTH ST STE 41B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-4673
Practice Address - Country:US
Practice Address - Phone:269-350-4143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6851115856101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health