Healthcare Provider Details

I. General information

NPI: 1962327114
Provider Name (Legal Business Name): HAILEY NOEL WASHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 HICKORY CREEK DR
BARTLETT TN
38135-1315
US

IV. Provider business mailing address

4530 HICKORY CREEK DR
BARTLETT TN
38135-1315
US

V. Phone/Fax

Practice location:
  • Phone: 901-648-4784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: