Provider Demographics
NPI:1144112368
Name:HAYES MEDICAL INTEGRATION, LLC
Entity type:Organization
Organization Name:HAYES MEDICAL INTEGRATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:407-614-8476
Mailing Address - Street 1:PO BOX 784347
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34778-4347
Mailing Address - Country:US
Mailing Address - Phone:407-614-8476
Mailing Address - Fax:
Practice Address - Street 1:2212 S CHICKASAW TRL STE 1139
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-8414
Practice Address - Country:US
Practice Address - Phone:407-614-8476
Practice Address - Fax:407-614-8766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty