Provider Demographics
NPI:1285684571
Name:HAYES RDG. CLINIC D/B/A ATLANTA COUNSELLING & EDUCATIONAL CONSULTANTS
Entity type:Organization
Organization Name:HAYES RDG. CLINIC D/B/A ATLANTA COUNSELLING & EDUCATIONAL CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:KELLETT
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:7709-970-7070
Mailing Address - Street 1:1587 PHOENIX BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-5540
Mailing Address - Country:US
Mailing Address - Phone:770-997-7070
Mailing Address - Fax:770-997-7860
Practice Address - Street 1:1587 PHOENIX BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-5540
Practice Address - Country:US
Practice Address - Phone:770-997-7070
Practice Address - Fax:770-997-7860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty