Provider Demographics
NPI:1265946131
Name:HAYES, VIRGINIA (PHD LPC)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:PHD LPC
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:EARHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PLPC
Mailing Address - Street 1:4747 BEAMON HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GOODMAN
Mailing Address - State:MO
Mailing Address - Zip Code:64843-7223
Mailing Address - Country:US
Mailing Address - Phone:479-633-2847
Mailing Address - Fax:
Practice Address - Street 1:4837 BEAMON HOLLOW RD
Practice Address - Street 2:
Practice Address - City:GOODMAN
Practice Address - State:MO
Practice Address - Zip Code:64843-7115
Practice Address - Country:US
Practice Address - Phone:479-633-2847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional