Healthcare Provider Details

I. General information

NPI: 1437600988
Provider Name (Legal Business Name): JACQUELINE HAYES, LPC-S M.ED., LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NA NA N/A

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 POYDRAS ST STE 1400
NEW ORLEANS LA
70130-6116
US

IV. Provider business mailing address

650 POYDRAS ST STE 1400
NEW ORLEANS LA
70130-6116
US

V. Phone/Fax

Practice location:
  • Phone: 225-267-7643
  • Fax: 833-560-2937
Mailing address:
  • Phone: 225-267-7643
  • Fax: 833-560-2937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number6607
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number6607
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number6607
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6607
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6607
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6607
License Number StateLA
# 7
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6607
License Number StateLA
# 8
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6607
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: