| Healing Haven Llc | |
|
2841 Russet Ridge Dr Clarksville TN 37040-5181 | |
| (813) 493-8769 | |
| Not Available |
| Full Name | Healing Haven Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2841 Russet Ridge Dr, Clarksville, Tennessee |
| Authorized Official Name and Position | Kari Marie Vincent (MEMBER) |
| Authorized Official Contact | 8134938769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Haven Llc 2841 Russet Ridge Dr Clarksville TN 37040-5181 Ph: () - | Healing Haven Llc 2841 Russet Ridge Dr Clarksville TN 37040-5181 Ph: (813) 493-8769 |
| NPI Number | 1295570950 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295570950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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