Individual
STEPHANIE ELISE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR
Contact information
Practice address
8109 GLADYS AVE STE 101, BEAUMONT, TX 77706-8206
(409) 659-9992
Mailing address
8109 GLADYS AVE STE 101, BEAUMONT, TX 77706-8206
(409) 659-9992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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