Doctor Name: | MS. RITA HAYWARD |
NPI Number: | 1053655258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, MHSP |
License Number: | 2043 |
Business Practice Address: | 3000 Business Park Cir 400 Goodlettsville, TN - 370723500 |
Business Phone Number: | 6154486799 |
Business Fax Number: | |
Mailing Address: | 548 Springmont Blvd, OLD HICKORY |
State: | TN |
Postal Code: | 371381555 |
Phone Number: | 6155412868 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2012 |
NPI Last Update Date: | 11/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |