Healthcare Provider Details

I. General information

NPI: 1174189054
Provider Name (Legal Business Name): ZELDA HAYES PH.D, PASTORAL COUNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 05/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 SILVERLEAF DR
PENSACOLA FL
32504-4976
US

IV. Provider business mailing address

3208 SILVERLEAF DR
PENSACOLA FL
32504-4976
US

V. Phone/Fax

Practice location:
  • Phone: 850-346-2104
  • Fax:
Mailing address:
  • Phone: 850-346-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: