Provider Demographics
NPI:1447380043
Name:HAYES, SHAWN (LPC)
Entity Type:Individual
Prefix:
First Name:SHAWN
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 1:3840 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:DEPOE BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97341-9704
Mailing Address - Country:US
Mailing Address - Phone:541-764-2682
Mailing Address - Fax:
Practice Address - Street 1:4466 NE DEVILS LAKE BLVD STE B
Practice Address - Street 2:
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-5197
Practice Address - Country:US
Practice Address - Phone:541-994-1741
Practice Address - Fax:541-994-1882
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist