Haynes, Melody
Haynes, Melody is an individual health care provider with primary practice located at 4570 Saint Johns Ave Suite 3, Jacksonville FL 32210-1848. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Haynes, Melody can be contacted via phone (904) 389-5231.Contact Information
Primary practice address
4570 Saint Johns Ave Suite 3
Jacksonville FL 32210-1848
Phone: (904) 389-5231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1154688786 |
|---|---|
| LBN Legal business name | Haynes, Melody |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2012 |
| Last updated | Apr 20th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154688786 | NPPES |
| Florida | MEDICAID | 360358001 |
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