MEDICARE: STEPHANIE A HAYNES LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1184581795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHANIE A HAYNES LLC

Provider Business Mailing Address
First Line	:	509 CENTER AVE STE 101
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5974
Country	:	US
Telephone Number	:	989-249-3227
Fax Number	:	989-509-5951

Provider Business Practice Location Address
First Line	:	509 CENTER AVE STE 101
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5974
Country	:	US
Telephone Number	:	989-249-3227
Fax Number	:	989-509-5951

Authorized Official
Title or Position	:	OWNER, LPC
Name	:	STEPHANIE NUMBERS
Credential	:	LPC
Telephone Number	:	989-482-8207

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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