Provider Demographics
NPI:1932348869
Name:HAYES, ANN N (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:N
Last Name:HAYES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MRS
Other - First Name:ANN
Other - Middle Name:N
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:14617 N IVY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:IL
Mailing Address - Zip Code:61523-9526
Mailing Address - Country:US
Mailing Address - Phone:309-472-9433
Mailing Address - Fax:
Practice Address - Street 1:4806 N SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-5928
Practice Address - Country:US
Practice Address - Phone:309-682-6258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180002657101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health