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Justice Hayze

Peer Specialist in New Albany, OH. Individual provider (NPI-1).

NPI number1154051985
StatusActive
Last updated in NPPESSep 11, 2023

Details

NPI
1154051985
Entity type
Individual (NPI-1)
Name
Miss Justice Hayze
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2022
Certification date
Sep 11, 2023
Last updated
Sep 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistAPS.002598OHYes
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.185451OH
101YM0800X Counselor, Mental Health––
171M00000X Case Manager/Care CoordinatorCDCA.185451OH
175T00000X Peer SpecialistYPS.000023OH

Practice location

7400 W Campus Rd # 43054
New Albany, OH 43054-8722

Phone 937-284-1391

Mailing address

366 Gilbert Ave
Fairborn, OH 45324-3208

Phone 404-234-9141

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