Doctor Name: | MRS. ELIZABETH J HAYES |
NPI Number: | 1023139037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,LMHC,LCDP |
License Number: | MHC00161 |
Business Practice Address: | Codac Inc 93 Thames St Newport, RI - 02840 |
Business Phone Number: | 4018464150 |
Business Fax Number: | |
Mailing Address: | 58 Stewart Dr, PORTSMOUTH |
State: | RI |
Postal Code: | 028713713 |
Phone Number: | 4016834513 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | MHC00161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |