Individual
SHANTA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5300 MEMORIAL DR STE 215, STONE MOUNTAIN, GA 30083-3148
(404) 565-8136
Mailing address
8170 MALL PARKWAY #1482, LITHONIA, GA 30038-5639
(404) 565-8136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008142
GA
1041C0700X
Clinical Social Worker
MSW008474
GA
1041C0700X
Clinical Social Worker
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Other
Enumeration date
11/27/2018
Last updated
05/30/2023
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