| Haven Therapy Llc | |
|
13403 N Government Way Ste 319 Hayden ID 83835-8914 | |
| (208) 819-7566 | |
| Not Available |
| Full Name | Haven Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13403 N Government Way Ste 319, Hayden, Idaho |
| Authorized Official Name and Position | Bethany Camarata (OWNER/CLINICIAN) |
| Authorized Official Contact | 2088197566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Therapy Llc 11648 N Avondale Loop Hayden ID 83835-9157 Ph: (208) 819-7566 | Haven Therapy Llc 13403 N Government Way Ste 319 Hayden ID 83835-8914 Ph: (208) 819-7566 |
| NPI Number | 1598502460 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598502460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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