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General NPI Number Information
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NPI Number | 1922684372
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Entity Type | Individual
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Provider Name | RICHARD HAYES LCSW, LCAC, LM&FT
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Gender | Male
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4220 TENNESSEE ST
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City | GARY
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State | IN
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Zip | 46409-2048
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Country | US
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Telephone | 219-902-4074
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Fax |
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Provider Business Mailing Address
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Address Line | 4220 TENNESSEE ST
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City | GARY
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State | IN
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Zip | 46409-2048
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Country | US
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Telephone | 219-902-4074
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001306A
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License Number State | IN
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