Healthcare Provider Details

I. General information

NPI: 1063322121
Provider Name (Legal Business Name): CRAIG ROBERT HAYES LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1439 FLINT WAY
CHINO VALLEY AZ
86323-5732
US

IV. Provider business mailing address

1439 FLINT WAY
CHINO VALLEY AZ
86323-5732
US

V. Phone/Fax

Practice location:
  • Phone: 623-229-0361
  • Fax:
Mailing address:
  • Phone: 623-229-0361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-22603
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: