| Michelle Hayes, | |
|
34324 Yucaipa Blvd, Suite B, Yucaipa, CA 92399-2496 | |
| (909) 790-1300 | |
| (909) 797-9687 |
| Full Name | Michelle Hayes |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 34324 Yucaipa Blvd, Yucaipa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649481441 | NPI | - | NPPES |
| 5380 | Other | CA | SIMON STAFF NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 48774 (California) | Primary |
| 225400000X | Rehabilitation Practitioner | 52554 (California) | Secondary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Hayes, Po Box 7369, Redlands, CA 92375-0369 Ph: (909) 335-7067 | Michelle Hayes, 34324 Yucaipa Blvd, Suite B, Yucaipa, CA 92399-2496 Ph: (909) 790-1300 |
Anais Cassaundra Chavez, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 33293 Colorado St Unit A, Yucaipa, CA 92399 Phone: 909-831-7203 |
Kamphoune Syphengpheth, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 33353 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 951-465-3664 |
Desire Ferguson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12797 3rd St, Yucaipa, CA 92399 Phone: 909-810-3377 |
Mrs. Loleta Michelle Mcdaniel, LMFT, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 Phone: 909-790-3900 |
Mrs. Traci Colleen Mohler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11921 Stovall Way, Yucaipa, CA 92399 Phone: 951-258-4357 |
Alexey Blames, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10776 Fremont St, Yucaipa, CA 92399 Phone: 909-797-0114 |
Dr. Margaret Nell Wild, PH.D., M.S., MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Footprints Counseling Services, 34455 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 951-367-4446 |