MEDICARE: JAMES HAIGH LPC-MHSP (TEMP)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6417	TN

General Provider Information

NPI Number	:	1871371864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES HAIGH LPC-MHSP (TEMP)

Provider Business Mailing Address
First Line	:	6037 HILLSIDE LN
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-1159
Country	:	US
Telephone Number	:	919-867-4771
Fax Number	:

Provider Business Practice Location Address
First Line	:	818 S MAIN ST
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3308
Country	:	US
Telephone Number	:	919-867-4771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	09/20/2023

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