Healthcare Provider Details

I. General information

NPI: 1154532323
Provider Name (Legal Business Name): W A HAYS CENTER FOR PSYCHOLOGICAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2007
Last Update Date: 05/30/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 KINGS RD
ATHENS GA
30606-3118
US

IV. Provider business mailing address

520 KINGS RD
ATHENS GA
30606-3118
US

V. Phone/Fax

Practice location:
  • Phone: 706-546-0257
  • Fax: 706-548-5609
Mailing address:
  • Phone: 706-546-0257
  • Fax: 706-548-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number012220
License Number StateGA

VIII. Authorized Official

Name: SYLVIA F. KNIGHT
Title or Position: CEO
Credential: PHD
Phone: 706-546-0257