Individual
ANGEL DIVINE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
375 N STEPHANIE ST BLDG 11, HENDERSON, NV 89014-8771
(702) 960-9564
Mailing address
975 SEVEN HILLS DR APT 921, HENDERSON, NV 89052-4318
(702) 241-7974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
3747P1801X
Personal Care Attendant
—
NV
Other
Enumeration date
03/17/2025
Last updated
03/18/2026
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