Provider Demographics
NPI:1548525215
Name:HAYS, ALYSIA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:ALYSIA
Middle Name:MARIE
Last Name:HAYS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ALYSIA
Other - Middle Name:MARIE
Other - Last Name:GIBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:670 9TH STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-6249
Mailing Address - Country:US
Mailing Address - Phone:707-826-8633
Mailing Address - Fax:707-826-8638
Practice Address - Street 1:622 H ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1026
Practice Address - Country:US
Practice Address - Phone:707-443-4666
Practice Address - Fax:707-441-4833
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA693871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor