Provider Demographics
NPI:1811147176
Name:HAYES, THOMAS F (LPCC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:F
Last Name:HAYES
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 OYSTER PL
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6739
Mailing Address - Country:US
Mailing Address - Phone:805-242-2696
Mailing Address - Fax:805-242-2696
Practice Address - Street 1:C/O OPEN DOOR COUNSELING
Practice Address - Street 2:1956 PALMA DRIVE SUITE J
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-242-2696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3512101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
11897917OtherBLUE SHIELD OF CALIFORNIA