Provider Demographics
NPI:1225182462
Name:HAYES, JOSEPH D (MS,LPC,NCC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:D
Last Name:HAYES
Suffix:
Gender:M
Credentials:MS,LPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 S JEFFERSON AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-4464
Mailing Address - Country:US
Mailing Address - Phone:903-285-5121
Mailing Address - Fax:
Practice Address - Street 1:106 S JEFFERSON AVE STE 110
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-4464
Practice Address - Country:US
Practice Address - Phone:903-285-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15115101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145025601Medicaid