| Haven Behavioral Health Center | |
|
2301 S Bagdad Rd Ste 404d Leander TX 78641-2309 | |
| (512) 868-7677 | |
| Not Available |
| Full Name | Haven Behavioral Health Center |
|---|---|
| Speciality | Counselor |
| Location | 2301 S Bagdad Rd Ste 404d, Leander, Texas |
| Authorized Official Name and Position | Alissa Shutts (OWNER) |
| Authorized Official Contact | 5128687677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Behavioral Health Center 2301 S Bagdad Rd Ste 404d Leander TX 78641-2309 Ph: (512) 868-7677 | Haven Behavioral Health Center 2301 S Bagdad Rd Ste 404d Leander TX 78641-2309 Ph: (512) 868-7677 |
| NPI Number | 1871206748 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 0042744542 |
|---|---|
| Medicare Enrollment ID | O20241106002020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871206748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alissa B Shutts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619521002 PECOS PAC ID: 2365978590 Enrollment ID: I20241211001081 |
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