Provider Demographics
NPI:1942968870
Name:HAYES, TAYLOR L (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:L
Last Name:HAYES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 W LONGLEAF DR UNIT 38
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-2659
Mailing Address - Country:US
Mailing Address - Phone:334-728-7013
Mailing Address - Fax:
Practice Address - Street 1:10003 COUNTY ROAD 34 STE 3
Practice Address - Street 2:
Practice Address - City:DADEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36853-5386
Practice Address - Country:US
Practice Address - Phone:256-307-1852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-08
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-156148163WP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health