=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932627551
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATHLEEN D HAYS NCC, LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2017
-----------------------------------------------------
Last Update Date | 09/04/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | NEW HORIZON COUNSELING CENTER 4300 MAIN STREET, 2ND FLOOR
-----------------------------------------------------
City | MUNHALL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15120-3362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-853-3189
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | NEW HORIZON COUNSELING CENTER P.O. BOX 3037
-----------------------------------------------------
City | MUNHALL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15120-0937
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-853-3189
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | PC009833
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------