Haynie, Kimberly Ann
Haynie, Kimberly Ann is an sole proprietor health care provider with primary practice located at 1200 W Apache St , Farmington NM 87401-3886. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haynie, Kimberly Ann can be contacted via phone (505) 258-2763.Contact Information
Primary practice address
1200 W Apache St
Farmington NM 87401-3886
Phone: (505) 258-2763
Fax: (505) 675-2803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-11810 | New Mexico |
Profile Details
| NPI number | 1942758461 |
|---|---|
| LBN Legal business name | Haynie, Kimberly Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2016 |
| Last updated | Nov 1st, 2023 - about 3 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 | 1942758461 | NPPES |
| New Mexico | MEDICAID | 61224502 |
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