MEDICARE: DAVID DEXTER HAYWARD M.S., MCAP, LMHC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	ADC-011482-2015	FL
2	101YM0800X	Mental Health Counselor	MH14560	FL
3	101YM0800X	Mental Health Counselor	MH14555	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	145560	OTHER	FL	FLORIDA DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1700237096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID DEXTER HAYWARD M.S., MCAP, LMHC

Provider Business Mailing Address
First Line	:	7551 WILES RD STE 105A
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2064
Country	:	US
Telephone Number	:	754-265-2702
Fax Number	:	754-240-4953

Provider Business Practice Location Address
First Line	:	7551 WILES RD STE 105A
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2064
Country	:	US
Telephone Number	:	754-971-6002
Fax Number	:	754-240-4953

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

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	12/10/2019

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Directions to “ DAVID DEXTER HAYWARD M.S., MCAP, LMHC” Practice Location

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