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NPI Code Detail

MEDICARE: JOANNA HAYDON THERAPY, LLC

MEDICARE: JOANNA HAYDON THERAPY, 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1689515884
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOANNA HAYDON THERAPY, LLC
Provider Business Mailing Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 630-803-7831
Fax Number :
Provider Business Practice Location Address
First Line : 1034 S BRENTWOOD BLVD SUITE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117
Country : US
Telephone Number : 630-803-7831
Fax Number :
Authorized Official
Title or Position : OWNER, CLINICAL DIRECTOR
Name : MRS. JOANNA HAYDON
Credential : JD, LCSW
Telephone Number : 630-803-7831
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/09/2026

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Directions to “JOANNA HAYDON THERAPY, LLC ” Practice Location

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