Provider Demographics
NPI:1649669458
Name:HAYNES, TONYA
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:HAYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2479 BRIARWEST BLVD
Mailing Address - Street 2:34
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077
Mailing Address - Country:US
Mailing Address - Phone:713-240-3385
Mailing Address - Fax:
Practice Address - Street 1:2379 BRIARWEST BLVD
Practice Address - Street 2:34
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-7604
Practice Address - Country:US
Practice Address - Phone:713-240-3385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor