MEDICARE: HAYES MEDICAL INTEGRATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144112368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAYES MEDICAL INTEGRATION, LLC

Provider Business Mailing Address
First Line	:	PO BOX 784347
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34778-4347
Country	:	US
Telephone Number	:	407-614-8476
Fax Number	:

Provider Business Practice Location Address
First Line	:	2212 S CHICKASAW TRL STE 1139
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-8414
Country	:	US
Telephone Number	:	407-614-8476
Fax Number	:	407-614-8766

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIMEKA HAYES
Credential	:	PHD
Telephone Number	:	407-614-8476

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/21/2025

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