Most Relevant Information
Provider Data
| NPI Number: | 1003299694 |
| Provider Name: | TONY HATLEY LPC/MHSP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 3398 |
Most Important Dates
| Enumeration Date: | 07/01/2015 |
| Last Updated: | 07/01/2015 |
Provider Practice Location
26 LAMAR CIR
JACKSON
TN
383054121
Practice Location Phone/Fax
| Phone: | 7312202919 |
| Fax: |
Provider Mailing Location
173 HARBOR CIR
NEW JOHNSONVILLE
TN
371349637
Provider Mailing Phone/Fax
| Phone: | 7312202919 |
| Fax: |