MEDICARE: KYNDELL HAYS ALC

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	ALC05887	AL

General Provider Information

NPI Number	:	1730030552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYNDELL HAYS ALC

Provider Business Mailing Address
First Line	:	691 COVERED BRIDGE PKWY
Second Line	:
City	:	PRATTVILLE
State	:	AL
Zip	:	36066-7296
Country	:	US
Telephone Number	:	334-380-3443
Fax Number	:	205-536-9121

Provider Business Practice Location Address
First Line	:	691 COVERED BRIDGE PKWY
Second Line	:
City	:	PRATTVILLE
State	:	AL
Zip	:	36066-7296
Country	:	US
Telephone Number	:	334-380-3443
Fax Number	:	205-536-9121

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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