Organization
LISA HAYES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HAYES LISW-S (CLINICAL SOCIAL WORKER)
(614) 398-1283
Entity
Organization
Contact information
Practice address
1200 W 5TH AVE, SUITE 102D, COLUMBUS, OH 43212-2503
(614) 398-1283
Mailing address
1200 W 5TH AVE, SUITE 102D, COLUMBUS, OH 43212-2503
(614) 398-1283
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
I0900163-S
OH
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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