| Doctor Name: | ALEXIS A HAILE |
| NPI Number: | 1275904187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | PC008353 |
| Business Practice Address: | 129 E 5th St Mount Carmel, PA - 178512175 |
| Business Phone Number: | 5703391828 |
| Business Fax Number: | 5703391924 |
| Mailing Address: | 2 Orchard St, SHAMOKIN |
| State: | PA |
| Postal Code: | 178727551 |
| Phone Number: | 5703391828 |
| Fax Number: | 5703391924 |
| NPI Enumeration Date: | 10/19/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC008353 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |