Healthcare Provider Details

I. General information

NPI: 1457264186
Provider Name (Legal Business Name): TRACI JO HAYS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1933 NEWGARDEN RD
SALEM OH
44460-9564
US

IV. Provider business mailing address

1933 NEWGARDEN RD
SALEM OH
44460-9564
US

V. Phone/Fax

Practice location:
  • Phone: 330-423-5961
  • Fax:
Mailing address:
  • Phone: 330-423-5961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TRACI JO HAYS
Title or Position: CEO
Credential:
Phone: 330-423-5961