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Angel Divine Haynes, BA

Counselor, Mental Health in Henderson, NV. Individual provider (NPI-1).

NPI number1295535409
StatusActive
Last updated in NPPESMar 18, 2026

Details

NPI
1295535409
Entity type
Individual (NPI-1)
Name
Angel Divine Haynes
Credential
BA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 17, 2025
Certification date
Mar 18, 2026
Last updated
Mar 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
3747P1801X Technician, Personal Care Attendant–NV

Practice location

375 N Stephanie St Bldg 11
Henderson, NV 89014-8771

Phone 702-960-9564

Mailing address

975 Seven Hills Dr Apt 921
Henderson, NV 89052-4318

Phone 702-241-7974

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