Provider Demographics
NPI:1457941403
Name:HAYES, HEATHER D (MS, BS, CADAAC, PEE)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:D
Last Name:HAYES
Suffix:
Gender:F
Credentials:MS, BS, CADAAC, PEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 N GERMAN CHURCH RD STE 3030
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-8513
Mailing Address - Country:US
Mailing Address - Phone:317-324-8398
Mailing Address - Fax:
Practice Address - Street 1:2349 S WINSLOW CT
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-4549
Practice Address - Country:US
Practice Address - Phone:812-650-6898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-24
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator