Provider Demographics
NPI:1811975782
Name:HAYES, MICHAEL NEIL (LPC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:NEIL
Last Name:HAYES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4142 ROBINHOOD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4739
Mailing Address - Country:US
Mailing Address - Phone:336-924-3801
Mailing Address - Fax:
Practice Address - Street 1:4142 ROBINHOOD RD
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4739
Practice Address - Country:US
Practice Address - Phone:336-924-3801
Practice Address - Fax:336-924-4641
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC344101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor