Provider Demographics
NPI:1124401153
Name:HAYSE, AMY M (LMFT #87264)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:HAYSE
Suffix:
Gender:
Credentials:LMFT #87264
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 LOMA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-9506
Mailing Address - Country:US
Mailing Address - Phone:530-403-5347
Mailing Address - Fax:
Practice Address - Street 1:2475 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6313
Practice Address - Country:US
Practice Address - Phone:530-403-5347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87264106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist