Provider Demographics
NPI:1417491713
Name:HAYNES, RANIA (MA, LPCC)
Entity Type:Individual
Prefix:MS
First Name:RANIA
Middle Name:
Last Name:HAYNES
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 E WOOSTER ST STE A1
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-9083
Mailing Address - Country:US
Mailing Address - Phone:419-556-6807
Mailing Address - Fax:419-643-9210
Practice Address - Street 1:1021 REVERE DR
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-1224
Practice Address - Country:US
Practice Address - Phone:419-556-6807
Practice Address - Fax:419-643-9210
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1600071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health