Healthcare Provider Details

I. General information

NPI: 1295553865
Provider Name (Legal Business Name): MATTHEW HAYES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 ALBEMARLE ST NW STE 500
WASHINGTON DC
20016-1856
US

IV. Provider business mailing address

1111 25TH ST NW APT 918
WASHINGTON DC
20037-1583
US

V. Phone/Fax

Practice location:
  • Phone: 202-531-5385
  • Fax:
Mailing address:
  • Phone: 614-632-6167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGPC200001826
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: