Katina Haynes, MBA, SWT,FAODP

Individual provider Active NPI Mental Health Counselor · Taylor, MI

NPI 1548411481 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1548411481
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6803078256 (MI)
Practice address
20300 Superior Rd Ste 200
Taylor, MI 48180-6303
Phone
(734) 785-7700
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
6803078256MIMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6803078256 MI Yes

Addresses

Primary practice location

20300 Superior Rd Ste 200
Taylor, MI 48180-6303

Mailing address

4127 10TH St
Ecorse, MI 48229-1211
Phone (313) 799-8519

Other providers in Taylor, MI

All providers in Taylor, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.