Doctor Name: | MS. LAURA RACHEL HAINES |
NPI Number: | 1093062192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH 11230 |
Business Practice Address: | 1402 Royal Palm Beach Blvd Suite 400 B Royal Palm Beach, FL - 334111691 |
Business Phone Number: | 5617929242 |
Business Fax Number: | 5617929243 |
Mailing Address: | 4150 Royal Palm Beach Blvd, ROYAL PALM BEACH |
State: | FL |
Postal Code: | 334119154 |
Phone Number: | 5616938951 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 11230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |