Organization
HAYNIE, INC
Active
Parent organization
HAYNIE, INC
Other names
The Phoenix Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAYNIE, INC
Authorized official
MS. KIMBERLY ANN HAYNIE LCSW (OWNER)
(505) 258-2763
Entity
Organization
Contact information
Practice address
1200 W APACHE ST, FARMINGTON, NM 87401-3886
(505) 258-2763
(505) 675-2803
Mailing address
1200 W APACHE ST, FARMINGTON, NM 87401-3886
(505) 258-2763
(505) 675-2803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32255705
—
NM
Enumeration date
11/04/2022
Last updated
11/01/2023
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