Provider Demographics
NPI:1871845784
Name:HAYES, SONDRA DENISE (LPC, LMFT, LAC)
Entity type:Individual
Prefix:MRS
First Name:SONDRA
Middle Name:DENISE
Last Name:HAYES
Suffix:
Gender:F
Credentials:LPC, LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 MAIN ST UNIT 165
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-5008
Mailing Address - Country:US
Mailing Address - Phone:225-278-2079
Mailing Address - Fax:225-366-7695
Practice Address - Street 1:12080 MARSTON ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:LA
Practice Address - Zip Code:70722-3217
Practice Address - Country:US
Practice Address - Phone:225-278-2079
Practice Address - Fax:225-366-7695
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA967101YA0400X
LA1072101YA0400X
LA2942101YM0800X, 101YP2500X, 101Y00000X
LA1125106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist