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NPI Code Detail

MEDICARE: MICHAEL HAYES

MEDICARE: MICHAEL HAYES
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
1101YP2500XProfessional Counselor2573TN

General Provider Information

NPI Number : 1962101386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL HAYES
Provider Business Mailing Address
First Line : 1900 CHEROKEE BLUFF DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-2251
Country : US
Telephone Number : 727-254-6448
Fax Number :
Provider Business Practice Location Address
First Line : 6000 WALDEN DR STE 102
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-6364
Country : US
Telephone Number : 865-247-4431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2023
Last Update Date : 02/24/2023

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