Healthcare Provider Details

I. General information

NPI: 1679485569
Provider Name (Legal Business Name): HAILEY BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 METHUEN ST
LAWRENCE MA
01840-1772
US

IV. Provider business mailing address

68 CALUMET ST APT 2
ROXBURY CROSSING MA
02120-3635
US

V. Phone/Fax

Practice location:
  • Phone: 877-255-1261
  • Fax:
Mailing address:
  • Phone: 207-337-2912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number225XM0800X
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: