Provider Demographics
NPI:1992758072
Name:HAYNES, JOAN (JONI) C (ACSW, LCSW)
Entity type:Individual
Prefix:
First Name:JOAN (JONI)
Middle Name:C
Last Name:HAYNES
Suffix:
Gender:F
Credentials:ACSW, LCSW
Other - Prefix:
Other - First Name:JOAN (JONI)
Other - Middle Name:
Other - Last Name:HAYNES-FINDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACSW, LCSW
Mailing Address - Street 1:9998 FORD AVE., SUITE 5
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-4062
Mailing Address - Country:US
Mailing Address - Phone:912-756-7136
Mailing Address - Fax:913-756-7146
Practice Address - Street 1:9998 FORD AVE STE 5
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-4062
Practice Address - Country:US
Practice Address - Phone:912-756-7136
Practice Address - Fax:913-756-7146
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0014601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical