Healthcare Provider Details

I. General information

NPI: 1396236774
Provider Name (Legal Business Name): ASHLEY HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 BETIN AVE
MONROE LA
71201-5143
US

IV. Provider business mailing address

806 N 31ST ST STE C
MONROE LA
71201-3900
US

V. Phone/Fax

Practice location:
  • Phone: 318-570-2981
  • Fax: 318-322-7061
Mailing address:
  • Phone: 318-570-2981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: