| Doctor Name: | TIMOTHY HAINES |
| NPI Number: | 1497813638 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | LPC-1661 |
| Business Practice Address: | 1100 N Broad St Globe, AZ - 855012757 |
| Business Phone Number: | 9284029297 |
| Business Fax Number: | 9284029414 |
| Mailing Address: | Po Box 1543, GLOBE |
| State: | AZ |
| Postal Code: | 855021543 |
| Phone Number: | 9284029297 |
| Fax Number: | 9284029414 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 08/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC-1661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |