Provider Information for 1245824457
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KRISSANDRA CHERRIA HAYNES LPC
Sex: Female
NPI: 1245824457
Last Updated: 2021-02-28
Certification Date: 2021-02-28
Certification Date: 2021-02-28
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1245824457 | ||||||||
Enumeration Date | 2021-02-28 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 115 CRESTBROOK DR ROCKWALL, TX 75087-7131 United States Phone: 770-298-3558 | Fax: | ||||||||
Primary Practice Address | 7290 VIRGINIA PKWY MCKINNEY, TX 75071-5740 United States Phone: 469-808-1016 | Fax: | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|