Provider Demographics
NPI:1437600988
Name:HAYES, LPC-S, JACQUELINE (MED, LPC-S)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:
Last Name:HAYES, LPC-S
Suffix:
Gender:F
Credentials:MED, LPC-S
Other - Prefix:
Other - First Name:NA
Other - Middle Name:
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:650 POYDRAS ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-6116
Mailing Address - Country:US
Mailing Address - Phone:225-267-7643
Mailing Address - Fax:833-560-2937
Practice Address - Street 1:650 POYDRAS ST STE 1400
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-6116
Practice Address - Country:US
Practice Address - Phone:225-267-7643
Practice Address - Fax:833-560-2937
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6607102L00000X, 106H00000X, 251B00000X, 101YP2500X, 251S00000X, 101YA0400X, 101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA6607Medicaid
LA6607OtherPRIVATE INSURANCE