MEDICARE: DR. JEANA HAYES-CARRIER PH.D., LCSW

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	1041C0700X	Clinical Social Worker	014176	TX

General Provider Information

NPI Number	:	1255472866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEANA HAYES-CARRIER PH.D., LCSW

Provider Business Mailing Address
First Line	:	6310B TAGGART ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2052
Country	:	US
Telephone Number	:	713-869-3231
Fax Number	:	713-869-3218

Provider Business Practice Location Address
First Line	:	6310B TAGGART ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2052
Country	:	US
Telephone Number	:	713-869-3231
Fax Number	:	713-869-3218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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