| Harper S Haven Marriage Family & Child Counseling Corp | |
|
1217 Valiant St Lancaster CA 93534-5445 | |
| (661) 754-3809 | |
| (661) 525-3515 |
| Full Name | Harper S Haven Marriage Family & Child Counseling Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1217 Valiant St, Lancaster, California |
| Authorized Official Name and Position | Keshia Bell (CLINICAL THERAPIST) |
| Authorized Official Contact | 6612280225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harper S Haven Marriage Family & Child Counseling Corp 1217 Valiant St Lancaster CA 93534-5445 Ph: (661) 754-3809 | Harper S Haven Marriage Family & Child Counseling Corp 1217 Valiant St Lancaster CA 93534-5445 Ph: (661) 754-3809 |
| NPI Number | 1134875768 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 3779926597 |
|---|---|
| Medicare Enrollment ID | O20240208003231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134875768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Keshia Daniele Humphrey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629322201 PECOS PAC ID: 4688017403 Enrollment ID: I20240208003279 |
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