Haley Augusta Gresham, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT001591 Issued in GA

Practice address

105 Governors SQ Ste E
Peachtree City, GA 30269-4866

Phone

(770) 845-3666

NPI assigned

Nov 13, 2017

Last updated

Nov 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1790298768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MCDONALD RD",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302772706",
            "telephone_number": "770-845-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GOVERNORS SQ STE E",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694866",
            "telephone_number": "770-845-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "HALEY",
        "middle_name": "AUGUSTA",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "LMFT001591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Gibson Gray, D.O.
• Karen Greene, M.D.
• Lorene Greene, APN
• Miranda Greenfield, PA-C
• Cassandra Greer
• Grundy Chiropractic, Inc
• Bruce Grundy, DC
• Guppy Again, Inc (Senior Helpers)
• Deanna Guthrie, M.D.
• Shenitta Guyton

• Marriage & Family Therapist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.