MEDICARE: PEGGY HAYNES MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	305141	KY

General Provider Information

NPI Number	:	1346075017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY HAYNES MA

Provider Business Mailing Address
First Line	:	2285 EXECUTIVE DR STE 325
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-4883
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2285 EXECUTIVE DR STE 325
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-4883
Country	:	US
Telephone Number	:	859-251-8782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	03/25/2026

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Directions to “ PEGGY HAYNES MA” Practice Location

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