Individual
GENA RENAI HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4358 APACHE PLUME DR, COLORADO SPRINGS, CO 80920-7641
(719) 200-0518
(866) 220-4492
Mailing address
4358 APACHE PLUME DR, COLORADO SPRINGS, CO 80920-7641
(719) 200-0518
(866) 220-4492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
008189
NY
101YM0800X
Mental Health Counselor
LH61191484
WA
101YP2500X
Professional Counselor
Primary
0014352
CO
101YP2500X
Professional Counselor
16968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148957701
—
TX
01
—
6210LC
BLUE CROSS/BLUE SHIELD
TX
01
—
7114677
AETNA
TX
Enumeration date
09/25/2006
Last updated
10/04/2023
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