Provider Demographics
NPI:1437954567
Name:HAYDEN, KELLY GENE (LPCC)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:GENE
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5367 ELMCREST LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7949
Mailing Address - Country:US
Mailing Address - Phone:513-332-7351
Mailing Address - Fax:
Practice Address - Street 1:9200 MONTGOMERY RD STE 13A
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-7792
Practice Address - Country:US
Practice Address - Phone:513-332-7351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2505079101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional