Provider Demographics
NPI:1497064828
Name:HAYES, WENDY LUREE
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LUREE
Last Name:HAYES
Suffix:
Gender:F
Credentials:
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 248
Mailing Address - Street 2:
Mailing Address - City:DOLAN SPRINGS
Mailing Address - State:AZ
Mailing Address - Zip Code:86441-0248
Mailing Address - Country:US
Mailing Address - Phone:928-767-3350
Mailing Address - Fax:
Practice Address - Street 1:16500 PIERCE FERRY RD
Practice Address - Street 2:
Practice Address - City:DOLAN SPRINGS
Practice Address - State:AZ
Practice Address - Zip Code:86441
Practice Address - Country:US
Practice Address - Phone:928-767-3350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool