Provider Demographics
NPI:1245973668
Name:HAYCRAFT THERAPY SOLUTIONS
Entity type:Organization
Organization Name:HAYCRAFT THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYCRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:256-736-3244
Mailing Address - Street 1:529 PIERRE ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6153
Mailing Address - Country:US
Mailing Address - Phone:256-736-3244
Mailing Address - Fax:
Practice Address - Street 1:529 PIERRE ST
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6153
Practice Address - Country:US
Practice Address - Phone:256-736-3244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1588110787OtherNPI