Healthcare Provider Details

I. General information

NPI: 1679926414
Provider Name (Legal Business Name): EMILY HAINS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33664 BAYVIEW BEHAVIORAL HEALTH LEWES SUITE 203
LEWES DE
19958-1933
US

IV. Provider business mailing address

1515 SAVANNAH RD FL 2
LEWES DE
19958-1675
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-1099
  • Fax: 855-556-6341
Mailing address:
  • Phone: 302-645-3499
  • Fax: 302-644-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberL8-0010921
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: