Healthcare Provider Details

I. General information

NPI: 1821718180
Provider Name (Legal Business Name): HALEY HENSLEY M.S., LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3161 CUSTER DR
LEXINGTON KY
40517-4067
US

IV. Provider business mailing address

3161 CUSTER DR
LEXINGTON KY
40517-4067
US

V. Phone/Fax

Practice location:
  • Phone: 859-575-9686
  • Fax:
Mailing address:
  • Phone: 859-575-9686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number295060
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: