Provider Demographics
NPI:1770814345
Name:HAYES, MOLLY BRIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:BRIE
Last Name:HAYES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3708 LYCKAN PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2586
Mailing Address - Country:US
Mailing Address - Phone:919-403-8249
Mailing Address - Fax:919-493-5725
Practice Address - Street 1:3708 LYCKAN PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2586
Practice Address - Country:US
Practice Address - Phone:919-403-8249
Practice Address - Fax:919-493-5725
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional