Haynes, Jeffery

Haynes, Jeffery is an individual health care provider with primary practice located at 121 Webb Dr Ste 202 , Davenport FL 33837-3904. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Haynes, Jeffery can be contacted via phone (863) 353-9322.

Contact Information

Primary practice address
121 Webb Dr Ste 202 Davenport FL 33837-3904
Phone: (863) 353-9322
Fax: (863) 353-2592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8653 Florida

Profile Details

NPI number 1245559566
LBN Legal business name Haynes, Jeffery
Credentials PH.D. LPC,LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2010
Last updated Jul 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245559566 NPPES
Other Z04F5 BLUE CROSS BLUE SHIELD

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