Provider Demographics
NPI:1831525641
Name:HAYES, LEAH REJOICE (BA)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:REJOICE
Last Name:HAYES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 NW 28TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-1009
Mailing Address - Country:US
Mailing Address - Phone:405-517-7413
Mailing Address - Fax:
Practice Address - Street 1:716 NW 28TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-1009
Practice Address - Country:US
Practice Address - Phone:405-517-7413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator