Provider Demographics
NPI:1700298106
Name:HAYES, LESLIE C (CC)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:C
Last Name:HAYES
Suffix:
Gender:F
Credentials:CC
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:C
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1726 W VIRGIN ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-2510
Mailing Address - Country:US
Mailing Address - Phone:918-527-2008
Mailing Address - Fax:
Practice Address - Street 1:1726 W VIRGIN ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-2510
Practice Address - Country:US
Practice Address - Phone:918-527-2008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst