Provider Demographics
NPI:1265904304
Name:HAYES, KIRA RYE (MA, MFT)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:RYE
Last Name:HAYES
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1873 BURG ST
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-1029
Mailing Address - Country:US
Mailing Address - Phone:740-334-9321
Mailing Address - Fax:
Practice Address - Street 1:58 S 2ND ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5432
Practice Address - Country:US
Practice Address - Phone:740-306-4267
Practice Address - Fax:740-205-8999
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-31
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHM.2000036-TEMP106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist