Provider Demographics
NPI:1134511033
Name:HAYES, KARLA (LPC)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97709-0367
Mailing Address - Country:US
Mailing Address - Phone:541-382-6743
Mailing Address - Fax:
Practice Address - Street 1:745 NW MT WASHINGTON DR
Practice Address - Street 2:SUTIE 304
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-1574
Practice Address - Country:US
Practice Address - Phone:541-382-6743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORCO714101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional