Provider Demographics
NPI:1447487590
Name:VAUGHN, HAILEY BETH (LMSW)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:BETH
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:
Other - Last Name:FAULKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:942 COUNTY ROAD 865
Mailing Address - Street 2:
Mailing Address - City:CARAWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72419-8637
Mailing Address - Country:US
Mailing Address - Phone:870-919-4046
Mailing Address - Fax:
Practice Address - Street 1:1217 STONE ST
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4520
Practice Address - Country:US
Practice Address - Phone:870-972-1268
Practice Address - Fax:870-934-0847
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker