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NPI Code Detail

MEDICARE: DR. DEIRDRE F HAYNES LPC

MEDICARE: DR. DEIRDRE F HAYNES LPC
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
1101YM0800XMental Health Counselor5425SC

General Provider Information

NPI Number : 1306183157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEIRDRE F HAYNES LPC
Provider Business Mailing Address
First Line : 2000 PARK ST STE 101
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2011
Country : US
Telephone Number : 803-790-2025
Fax Number : 877-817-8961
Provider Business Practice Location Address
First Line : 2000 PARK ST STE 101
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2011
Country : US
Telephone Number : 803-790-2025
Fax Number : 877-817-8961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2013
Last Update Date : 09/26/2025

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Directions to “ DR. DEIRDRE F HAYNES LPC” Practice Location

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