Provider Demographics
NPI:1083346324
Name:HAYES-BOONE, CRYSTAL SHANNON
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:SHANNON
Last Name:HAYES-BOONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 LITTLEJOHN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-8563
Mailing Address - Country:US
Mailing Address - Phone:828-292-6822
Mailing Address - Fax:
Practice Address - Street 1:4010 LITTLEJOHN CHURCH RD
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-8563
Practice Address - Country:US
Practice Address - Phone:828-292-6822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool