Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Sally Ironside Haynes, LMHC, MAC, EMDRCERT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669734539

MS. Sally Ironside Haynes, LMHC, MAC, EMDRCERT is an Addiction (Substance Use Disorder) Counselor in Statesville, North Carolina. Practices as a sole proprietor. Licensed in Florida and North Carolina.

Licensed in
FL, NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

611 Sullivan Rd
Statesville, NC 28677-3437
Phone: (704) 762-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 19409 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 29553 (FL)

Record details

NPI number1669734539
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC , MAC , EMDRCERT
Sole proprietorYes
NPI enumeratedJune 15, 2012
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

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