Provider Demographics
NPI:1346137288
Name:HAYNES, DEBRA ANN (LPC-T)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:HAYNES
Suffix:
Gender:F
Credentials:LPC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 502
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-0502
Mailing Address - Country:US
Mailing Address - Phone:901-292-3332
Mailing Address - Fax:901-861-7855
Practice Address - Street 1:855 PICKWICK ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-3055
Practice Address - Country:US
Practice Address - Phone:731-503-3190
Practice Address - Fax:702-442-9307
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7969101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional