| Haven Therapeutic Services, Pllc | |
|
5951 Stonyhill Ln Se Kentwood MI 49508-6462 | |
| (616) 706-9223 | |
| Not Available |
| Full Name | Haven Therapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5951 Stonyhill Ln Se, Kentwood, Michigan |
| Authorized Official Name and Position | Chandra Lynne Doorn Criffield (SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 6167069223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Therapeutic Services, Pllc 5951 Stonyhill Ln Se Kentwood MI 49508-6462 Ph: (616) 706-9223 | Haven Therapeutic Services, Pllc 5951 Stonyhill Ln Se Kentwood MI 49508-6462 Ph: (616) 706-9223 |
| NPI Number | 1932875051 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932875051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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