Healthcare Provider Details

I. General information

NPI: 1467363291
Provider Name (Legal Business Name): HALEY RAINE PARKER M.S, CRC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 REGENT ST
MADISON WI
53715-2634
US

IV. Provider business mailing address

931 HARRINGTON DR APT 107
MADISON WI
53718-3284
US

V. Phone/Fax

Practice location:
  • Phone: 608-406-2022
  • Fax:
Mailing address:
  • Phone: 920-410-1931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number12800125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: