Taylor Olivia Haynes, LCSW
Social Worker, Clinical in Louisville, KY. Individual provider (NPI-1).
NPI number1235802422
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1235802422
- Entity type
- Individual (NPI-1)
- Name
- Taylor Olivia Haynes
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2021
- Certification date
- Nov 5, 2021
- Last updated
- Nov 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 255129 | KY | Yes |
Practice location
1951 Bishop Ln Ste 300Louisville, KY 40218-1950
Phone 502-446-5610 · Fax 502-446-5619
Mailing address
Po Box 776351Chicago, IL 60677-6351
Phone 502-588-9490 · Fax 502-272-5116
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