Provider Demographics
NPI:1467750786
Name:HAYS MENTAL HEALTH NETWORK PLLC
Entity Type:Organization
Organization Name:HAYS MENTAL HEALTH NETWORK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:BOSARGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-680-3013
Mailing Address - Street 1:5730 RUDOLPH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-7032
Mailing Address - Country:US
Mailing Address - Phone:512-680-3013
Mailing Address - Fax:
Practice Address - Street 1:413 NW RIVER RD
Practice Address - Street 2:
Practice Address - City:MARTINDALE
Practice Address - State:TX
Practice Address - Zip Code:78655-3015
Practice Address - Country:US
Practice Address - Phone:512-680-3013
Practice Address - Fax:512-523-8271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34161103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty