Healthcare Provider Details

I. General information

NPI: 1851802052
Provider Name (Legal Business Name): RACHEL HAYNES MARRIAGE & FAMILY THERAPIST, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22248 MAIN ST
HAYWARD CA
94541-4005
US

IV. Provider business mailing address

22248 MAIN ST
HAYWARD CA
94541-4005
US

V. Phone/Fax

Practice location:
  • Phone: 510-776-0344
  • Fax:
Mailing address:
  • Phone: 510-776-0344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number102204
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHEL ELIZABETH HAYNES
Title or Position: MFT
Credential: LICENSE
Phone: 510-776-0344