Doctor Name: | HEATHER ANN HAYS |
NPI Number: | 1518362151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | 2014034460 |
License Number: | 2014034460 |
Business Practice Address: | 12716 Farm Road 2239 Cassville, MO - 656258508 |
Business Phone Number: | 4174761000 |
Business Fax Number: | 4174761082 |
Mailing Address: | 12716 Farm Road 2239, CASSVILLE |
State: | MO |
Postal Code: | 656258508 |
Phone Number: | 4174761000 |
Fax Number: | 4174761082 |
NPI Enumeration Date: | 10/24/2014 |
NPI Last Update Date: | 10/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2014034460 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |