Provider Demographics
NPI:1780212746
Name:HAYES, VIRGINIA FRITH (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:FRITH
Last Name:HAYES
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:JINGER
Other - Middle Name:F
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:26719 MIRAGE DR
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-6109
Mailing Address - Country:US
Mailing Address - Phone:281-414-0471
Mailing Address - Fax:
Practice Address - Street 1:26719 MIRAGE DR
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-6109
Practice Address - Country:US
Practice Address - Phone:281-414-0471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0014864101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional