MEDICARE: MR. MICHAEL NEIL HAYES LPC

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	344	NC
2	101Y00000X	Counselor	344	NC

General Provider Information

NPI Number	:	1811975782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL NEIL HAYES LPC

Provider Business Mailing Address
First Line	:	4142 ROBINHOOD RD
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27106-4739
Country	:	US
Telephone Number	:	336-924-3801
Fax Number	:

Provider Business Practice Location Address
First Line	:	4142 ROBINHOOD RD
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27106-4739
Country	:	US
Telephone Number	:	336-924-3801
Fax Number	:	336-924-4641

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

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	04/24/2008

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