Healthcare Provider Details

I. General information

NPI: 1871845784
Provider Name (Legal Business Name): SONDRA DENISE HAYES LPC, LMFT, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2012
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12080 MARSTON ST
CLINTON LA
70722-3217
US

IV. Provider business mailing address

6001 MAIN ST UNIT 165
ZACHARY LA
70791-5008
US

V. Phone/Fax

Practice location:
  • Phone: 225-278-2079
  • Fax: 225-366-7695
Mailing address:
  • Phone: 225-278-2079
  • Fax: 225-366-7695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2942
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number967
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1072
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2942
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2942
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1125
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: