Provider Demographics
NPI:1962571372
Name:HAINES, JANET ELIZABETH (MS, LPC, LMHC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ELIZABETH
Last Name:HAINES
Suffix:
Gender:F
Credentials:MS, LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 711
Mailing Address - Street 2:1127 SOUTH 700 EAST
Mailing Address - City:NEW HARMONY
Mailing Address - State:UT
Mailing Address - Zip Code:84757-0711
Mailing Address - Country:US
Mailing Address - Phone:435-668-2648
Mailing Address - Fax:425-491-7261
Practice Address - Street 1:1173 S 250 W
Practice Address - Street 2:SUITE 202-A
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-6392
Practice Address - Country:US
Practice Address - Phone:435-668-2648
Practice Address - Fax:425-491-7261
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003897101YM0800X
UT7798649-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1000001174001OtherREGENCE BLUE CROSS BLUE SHIELD