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NPI 1770619074

NPI 1770619074 : AMANDA D HAYES : LAWRENCEBURG, TN

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General NPI Number Information
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    NPI Number           |    1770619074
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA D HAYES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2007
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    129 N LOCUST AVE 
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    City                 |    LAWRENCEBURG
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    State                |    TN
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    Zip                  |    38464-3757
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    Country              |    US
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    Telephone            |    931-253-1110
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    199 GALE FAUCETT RD 
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    City                 |    TRENTON
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    State                |    TN
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    Zip                  |    38382-7915
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    Country              |    US
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    Telephone            |    615-627-7660
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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        |    101Y00000X
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    Taxonomy Name        |    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       |    P2506017
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    License Number State |    AR
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    289204
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    3289
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    License Number State |    MS
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