1679926414 NPI number — EMILY HAINS PMHNP

Table of content: EMILY HAINS PMHNP (NPI 1679926414)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679926414 NPI number — EMILY HAINS PMHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAINS
Provider First Name:
EMILY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PMHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679926414
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1515 SAVANNAH RD FL 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEWES
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19958-1675
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-645-3499
Provider Business Mailing Address Fax Number:
302-644-4830

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
33664 BAYVIEW BEHAVIORAL HEALTH LEWES
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
LEWES
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19958-1933
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-645-1099
Provider Business Practice Location Address Fax Number:
855-556-6341
Provider Enumeration Date:
07/17/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  L8-0010921 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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