Doctor Name: | TAMARA HAYNES |
NPI Number: | 1457655722 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | A8430 |
Business Practice Address: | 5200 Park Rd Suite 111 Charlotte, NC - 282093650 |
Business Phone Number: | 9803950044 |
Business Fax Number: | |
Mailing Address: | 8716 Firestreak Dr, CHARLOTTE |
State: | NC |
Postal Code: | 282165788 |
Phone Number: | 9803950044 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2010 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A8430 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |