Provider Demographics
NPI:1326563479
Name:HAYDEN, TAYLOR CARL (LPCA)
Entity type:Individual
Prefix:MR
First Name:TAYLOR
Middle Name:CARL
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-6124
Mailing Address - Country:US
Mailing Address - Phone:828-322-4941
Mailing Address - Fax:828-322-4931
Practice Address - Street 1:604 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2990
Practice Address - Country:US
Practice Address - Phone:703-946-5538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-10
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13224101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor