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NPI Code Detail

MEDICARE: MS. AMBER HAYNES CDCA

MEDICARE: MS. AMBER HAYNES CDCA
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA 162222OH

General Provider Information

NPI Number : 1164962239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMBER HAYNES CDCA
Provider Business Mailing Address
First Line : 1801 WATERMARK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-7088
Country : US
Telephone Number : 614-487-8758
Fax Number :
Provider Business Practice Location Address
First Line : 11156 CANAL RD STE A
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5816
Country : US
Telephone Number : 513-772-6166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2017
Last Update Date : 01/16/2026

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Directions to “ MS. AMBER HAYNES CDCA” Practice Location

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