Provider Demographics
NPI:1154532323
Name:W A HAYS CENTER FOR PSYCHOLOGICAL HEALTH, INC.
Entity type:Organization
Organization Name:W A HAYS CENTER FOR PSYCHOLOGICAL HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:706-546-0257
Mailing Address - Street 1:520 KINGS RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3118
Mailing Address - Country:US
Mailing Address - Phone:706-546-0257
Mailing Address - Fax:706-548-5609
Practice Address - Street 1:520 KINGS RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3118
Practice Address - Country:US
Practice Address - Phone:706-546-0257
Practice Address - Fax:706-548-5609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-27
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X
GA0122202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPSY000909OtherGEORGIA SEC OF STATE LICENSURE BOARD FOR PSYCHOLOGY
GAH71701OtherCORPORATION STATE LIC.#
GA012220OtherCEO'S.STATE MEDICAL LIC.#