Provider Demographics
NPI:1164895025
Name:HAYNES, TIFFENY (MSW/RSW)
Entity Type:Individual
Prefix:MS
First Name:TIFFENY
Middle Name:
Last Name:HAYNES
Suffix:
Gender:F
Credentials:MSW/RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 DILLARD DR
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-2576
Mailing Address - Country:US
Mailing Address - Phone:214-783-6990
Mailing Address - Fax:
Practice Address - Street 1:104 DILLARD DR
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094
Practice Address - Country:US
Practice Address - Phone:214-783-6990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-01
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator