Healthcare Provider Details

I. General information

NPI: 1982247110
Provider Name (Legal Business Name): JOY ANNE HAYES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 10/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY OAKS DRIVE
REDDING CA
96003
US

IV. Provider business mailing address

3174 LAKE REDDING DRIVE
REDDING CA
96003-3307
US

V. Phone/Fax

Practice location:
  • Phone: 530-945-6421
  • Fax:
Mailing address:
  • Phone: 530-945-6421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number74425
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: