Provider Demographics
NPI:1043799851
Name:HAYES, BROOKE WHITNEY (LPC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:WHITNEY
Last Name:HAYES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3528 N HIGH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-4090
Mailing Address - Country:US
Mailing Address - Phone:614-987-8268
Mailing Address - Fax:
Practice Address - Street 1:3528 N HIGH ST STE 4
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-4090
Practice Address - Country:US
Practice Address - Phone:614-987-8268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1801217-TRNE101YP2500X
OHC.1902135101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional