Provider Demographics
NPI:1174105969
Name:HAYDIS, MARIA LEONOR (LMFT)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:LEONOR
Last Name:HAYDIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 MAIN ST STE 1300
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-7220
Mailing Address - Country:US
Mailing Address - Phone:714-450-6412
Mailing Address - Fax:
Practice Address - Street 1:2030 MAIN ST STE 1300
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-7220
Practice Address - Country:US
Practice Address - Phone:714-450-6412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA140483106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist