Individual
LISA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 HERITAGE VILLAGE PLZ STE 255, GAINESVILLE, VA 20155-3096
(703) 712-1409
Mailing address
15905 SHEADS MOUNTAIN RD, RIXEYVILLE, VA 22737-2354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704018039
VA
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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