Provider Demographics
NPI:1184314353
Name:HAYES CENTER FOR HEALING
Entity type:Organization
Organization Name:HAYES CENTER FOR HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DYLANN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-460-1361
Mailing Address - Street 1:2717 NORITE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-2174
Mailing Address - Country:US
Mailing Address - Phone:217-460-1361
Mailing Address - Fax:
Practice Address - Street 1:3509 HULEN ST STE 206
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-6865
Practice Address - Country:US
Practice Address - Phone:817-744-8756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty