Individual
ABBEY HAYDIS KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, L.M.H.C., NCC
Contact information
Practice address
127 SW 12TH AVE, BOYNTON BEACH, FL 33435-5935
(813) 928-0952
(561) 732-8612
Mailing address
127 SW 12TH AVE, BOYNTON BEACH, FL 33435-5935
(954) 593-3662
(561) 732-8612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH 4343
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH4343
FL
101YM0800X
Mental Health Counselor
Primary
MH4343
FL
101YP2500X
Professional Counselor
MH4343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43810
NCC-NATIONAL CERTIFIED COUNSELOR
FL
01
—
MH 4343
STATE OF FLORIDA DEPT. OF HEALTH
FL
Enumeration date
10/06/2011
Last updated
08/08/2012
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