Hayes, Lisa

Hayes, Lisa is an sole proprietor health care provider with primary practice located at 1212 Ashley Cir Ste 3 , Bowling Green KY 42104-5821. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Hayes, Lisa can be contacted via phone (270) 842-0029.

Contact Information

Primary practice address
1212 Ashley Cir Ste 3 Bowling Green KY 42104-5821
Fax: (270) 782-8875
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X KY-0096 Kentucky

Profile Details

NPI number 1134131428
LBN Legal business name Hayes, Lisa
Credentials LPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jun 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134131428 NPPES
Kentucky MEDICAID 30604011

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