Provider Demographics
NPI:1710693973
Name:HAYNES, TONYA LEIGH ANN (MMFT)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:LEIGH ANN
Last Name:HAYNES
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5122 DOGWOOD PT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6834
Mailing Address - Country:US
Mailing Address - Phone:615-804-5499
Mailing Address - Fax:
Practice Address - Street 1:412 S PETWAY ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3321
Practice Address - Country:US
Practice Address - Phone:615-804-5499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1736106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist