Haynes, Sally Ironside

Haynes, Sally Ironside is an sole proprietor health care provider with primary practice located at 611 Sullivan Rd , Statesville NC 28677-3437. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Haynes, Sally Ironside can be contacted via phone (704) 762-7400.

Contact Information

Primary practice address
611 Sullivan Rd Statesville NC 28677-3437
Phone: (704) 762-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29553 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 19409 North Carolina

Profile Details

NPI number 1669734539
LBN Legal business name Haynes, Sally Ironside
Credentials LMHC, MAC, EMDR CERT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2012
Last updated Mar 11th, 2024 - about 2 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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