Healthcare Provider Details

I. General information

NPI: 1417425711
Provider Name (Legal Business Name): ABIGAIL BARTHEL HAYS LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 LOOP RD STE C
WINNSBORO LA
71295-3341
US

IV. Provider business mailing address

PO BOX 1300
WINNSBORO LA
71295-1300
US

V. Phone/Fax

Practice location:
  • Phone: 318-435-6377
  • Fax:
Mailing address:
  • Phone: 318-435-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6500
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1292
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: