Healthcare Provider Details

I. General information

NPI: 1285316331
Provider Name (Legal Business Name): BRIANNA HAYES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 N OGDEN ST STE 550
DENVER CO
80218-3676
US

IV. Provider business mailing address

1960 N OGDEN ST STE 550
DENVER CO
80218-3676
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-3240
  • Fax:
Mailing address:
  • Phone: 303-318-3240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09929426
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: