Individual
DONNELL HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSSP
Contact information
Practice address
1111 W MOCKINGBIRD LN # 480, DALLAS, TX 75247-5028
(214) 616-8186
Mailing address
3103 MCDERMOTT AVE, DALLAS, TX 75215-3922
(214) 616-8186
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
10/22/2024
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