| Ms Jennifer Elaine Haynes, LMHC | |
|
1995 Sw Newport Isles Blvd, Port Saint Lucie, FL 34953-4382 | |
| (772) 307-0050 | |
| Not Available |
| Full Name | Ms Jennifer Elaine Haynes |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1995 Sw Newport Isles Blvd, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457955437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH20058 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH22103 (Florida) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Brightside Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230614002773 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Elaine Haynes, LMHC 1995 Sw Newport Isles Blvd, Port St Lucie, FL 34953-4382 Ph: (772) 877-5756 | Ms Jennifer Elaine Haynes, LMHC 1995 Sw Newport Isles Blvd, Port Saint Lucie, FL 34953-4382 Ph: (772) 307-0050 |
Josefina Tinajero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953 Phone: 772-873-8811 | |
Steven G Smarra Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 518 Sw Prima Vista Blvd, Port Saint Lucie, FL 34983 Phone: 954-789-6603 | |
Claudia I Mendez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953 Phone: 561-616-8411 | |
Karla Michelle Rios Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 518 Sw Prima Vista Blvd, Port Saint Lucie, FL 34983 Phone: 772-873-8811 | |
Kaitlyn Land, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1729 Nw Saint Lucie West Blvd # 1276, Port Saint Lucie, FL 34986 Phone: 863-623-8500 | |
Jakiis Merrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1860 Sw Fountainview Blvd, Port Saint Lucie, FL 34986 Phone: 772-494-7770 | |
Krista Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1680 Se Lyngate Dr Ste 204, Port Saint Lucie, FL 34952 Phone: 772-226-0383 |