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General NPI Number Information
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NPI Number | 1003526963
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Entity Type | Individual
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Provider Name | ANGEL JOCELIN HAYE LPC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 2365 WALL ST SE STE 200-04
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City | CONYERS
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State | GA
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Zip | 30013-2197
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Country | US
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Telephone | 404-890-0125
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 GEORGIA HIGHWAY 20 SE STE 114
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City | CONYERS
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State | GA
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Zip | 30013-2076
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Country | US
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Telephone | 404-890-0125
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC013655
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License Number State | GA
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