MEDICARE: MS. DAWN MARIE HAYES LMFT-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	8782	SC

General Provider Information

NPI Number	:	1558127019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN MARIE HAYES LMFT-A

Provider Business Mailing Address
First Line	:	28 PEQUOT DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-5165
Country	:	US
Telephone Number	:	815-404-6117
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 AIRPORT RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-2607
Country	:	US
Telephone Number	:	864-399-7967
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	03/21/2024

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