Individual
MR. RICHARD HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAC, LM&FT
Contact information
Practice address
4220 TENNESSEE ST, GARY, IN 46409-2048
(219) 902-4074
Mailing address
4220 TENNESSEE ST, GARY, IN 46409-2048
(219) 902-4074
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001306A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8911590235
OPERATOR LICENSE
IN
Enumeration date
03/23/2021
Last updated
09/11/2025
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