Provider Demographics
NPI:1891186748
Name:HAYES, NIKKI (LCPC)
Entity Type:Individual
Prefix:MS
First Name:NIKKI
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 MIDDLE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3287
Mailing Address - Country:US
Mailing Address - Phone:563-503-6756
Mailing Address - Fax:
Practice Address - Street 1:2550 MIDDLE RD STE 300
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3287
Practice Address - Country:US
Practice Address - Phone:563-503-6756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009469101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional