Organization
LYNN M HAYNES, LISW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M HAYNES LISW (OWNER)
(505) 238-9551
Entity
Organization
Contact information
Practice address
4010 CARLISLE BLVD NE STE G, ALBUQUERQUE, NM 87107-4532
(505) 238-9551
Mailing address
221 TORNASOL LN NE, ALBUQUERQUE, NM 87113-1214
(505) 238-9551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-05833
NM
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23651032
—
NM
Enumeration date
10/11/2012
Last updated
02/20/2025
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