Provider Demographics
NPI:1063660678
Name:HAYES, TAMMY (BSW)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 PICKWICK ST S
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-3519
Mailing Address - Country:US
Mailing Address - Phone:731-925-5054
Mailing Address - Fax:731-925-5699
Practice Address - Street 1:1410 PICKWICK ST S
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-3519
Practice Address - Country:US
Practice Address - Phone:731-925-5054
Practice Address - Fax:731-925-5699
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor