Samuel Lee Hayes III
Individual provider Active NPI Mental Health Counselor · Shamong, NJ
NPI 1134533672 · NPPES record last updated Jun 12, 2014
Key facts
- NPI
- 1134533672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1390 Old Indian Mills Rd
Shamong, NJ 08088-9426 - Phone
- (609) 832-8865
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1390 Old Indian Mills Rd
Shamong, NJ 08088-9426
Mailing address
770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928
Other providers in Shamong, NJ
- Brooke Amy Elliott
- Stephanie Flemming
- Kathleen Fox
- Megan Gardner
- Dana Marie Gibilisco
- Amanda Marie Heritage
- Indian Mills Volunteer Fire Co No 1
- Intimacy Institute LLC
- Kathleen Anne Lee
- Lenape Regional High School District
All providers in Shamong, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.