Provider Demographics
NPI:1508693003
Name:HAYES, TIMOTHY P (MSW)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:P
Last Name:HAYES
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4880 BRAMBLETON AVE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-4152
Mailing Address - Country:US
Mailing Address - Phone:540-562-3900
Mailing Address - Fax:540-772-2195
Practice Address - Street 1:4880 BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-4152
Practice Address - Country:US
Practice Address - Phone:540-562-3900
Practice Address - Fax:540-772-2195
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health