Provider Demographics
NPI:1891048583
Name:JODEE HAYES, LIMHP, P.C.
Entity Type:Organization
Organization Name:JODEE HAYES, LIMHP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JODEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PITT
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP LCSW
Authorized Official - Phone:402-984-9301
Mailing Address - Street 1:1608 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:JUNIATA
Mailing Address - State:NE
Mailing Address - Zip Code:68955-3137
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1608 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:JUNIATA
Practice Address - State:NE
Practice Address - Zip Code:68955-3137
Practice Address - Country:US
Practice Address - Phone:402-984-9301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE811101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025900500Medicaid