Provider Demographics
NPI:1366435018
Name:HAYES, MAUREEN A (LCMHC)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:A
Last Name:HAYES
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 NORTHEASTERN BLVD
Mailing Address - Street 2:UNIT 32B
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3169
Mailing Address - Country:US
Mailing Address - Phone:339-970-8579
Mailing Address - Fax:
Practice Address - Street 1:76 NORTHEASTERN BLVD
Practice Address - Street 2:UNIT 32B
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-3169
Practice Address - Country:US
Practice Address - Phone:339-970-8579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-29
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5251101YM0800X
NH357101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3126113Medicaid
NH14Y000906NH01OtherBCBS PROVIDER ID