Provider Demographics
NPI:1144853342
Name:HAGGIE, JAMES RICHARD
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:RICHARD
Last Name:HAGGIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 MANGROVE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-0922
Mailing Address - Country:US
Mailing Address - Phone:859-684-2670
Mailing Address - Fax:
Practice Address - Street 1:2113 MANGROVE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-0922
Practice Address - Country:US
Practice Address - Phone:859-684-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-16
Last Update Date:2020-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health