| Annie Marie Haynes, LCSW | |
|
233 N Main St, Portland, AR 71663-9230 | |
| (870) 737-2221 | |
| (855) 878-5991 |
| Full Name | Annie Marie Haynes |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 233 N Main St, Portland, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932336054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Delta Counseling Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053364612 PECOS PAC ID: 1850377508 Enrollment ID: O20040624001643 |
| Entity Name | Mainline Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164264834 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567 |
| Entity Name | Drew Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487909701 PECOS PAC ID: 6002066503 Enrollment ID: O20121025000656 |
| Entity Name | Arkansas Psychiatric Clinic Clinical Research Trials, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548661200 PECOS PAC ID: 0345566238 Enrollment ID: O20150312001445 |
| Entity Name | Interventions Behavioral Health Service Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841689163 PECOS PAC ID: 1850716101 Enrollment ID: O20200803002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Marie Haynes, LCSW Po Box 509, Dermott, AR 71638-0509 Ph: (870) 942-3000 | Annie Marie Haynes, LCSW 233 N Main St, Portland, AR 71663-9230 Ph: (870) 737-2221 |
Amy Floyd, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 233 North Main, Portland, AR 71663 Phone: 870-737-2221 Fax: 870-737-4337 |