| Lynn M Haynes, Lisw, Llc | |
|
2626 Central Ave Sw Albuquerque NM 87104-1616 | |
| (505) 238-9551 | |
| Not Available |
| Full Name | Lynn M Haynes, Lisw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2626 Central Ave Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lynn M Haynes (OWNER) |
| Authorized Official Contact | 5052389551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn M Haynes, Lisw, Llc 221 Tornasol Ln Ne Albuquerque NM 87113-1214 Ph: (505) 238-9551 | Lynn M Haynes, Lisw, Llc 2626 Central Ave Sw Albuquerque NM 87104-1616 Ph: (505) 238-9551 |
| NPI Number | 1194077396 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194077396 | NPI | - | NPPES |
| 23651032 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I-05833 (New Mexico) | Primary |
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