Individual
DYLANN ELIZABETH HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6777 CAMP BOWIE BLVD STE 229, FORT WORTH, TX 76116-7157
(682) 703-1311
(817) 887-1694
Mailing address
6777 CAMP BOWIE BLVD STE 229, FORT WORTH, TX 76116-7157
(682) 703-1311
(817) 887-1694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
65933
TX
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
65933
TX
1041C0700X
Clinical Social Worker
Primary
65933
TX
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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