Hayes, Lisa
Hayes, Lisa is an sole proprietor health care provider with primary practice located at 1212 Ashley Cir Ste 3 , Bowling Green KY 42104-5821. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Hayes, Lisa can be contacted via phone (270) 842-0029.Contact Information
Primary practice address
1212 Ashley Cir Ste 3
Bowling Green KY 42104-5821
Phone: (270) 842-0029
Fax: (270) 782-8875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | KY-0096 | Kentucky |
Profile Details
| NPI number | 1134131428 |
|---|---|
| LBN Legal business name | Hayes, Lisa |
| Credentials | LPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jun 18th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134131428 | NPPES |
| Kentucky | MEDICAID | 30604011 |
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