MEDICARE: CALM HAVEN MENTAL HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1093647737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALM HAVEN MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	555 ROUND ROCK WEST DR STE E202
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5052
Country	:	US
Telephone Number	:	512-279-9345
Fax Number	:	512-233-1711

Provider Business Practice Location Address
First Line	:	555 ROUND ROCK WEST DR STE E202
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5052
Country	:	US
Telephone Number	:	512-279-9345
Fax Number	:	512-233-1711

Authorized Official
Title or Position	:	FOUNDER AND CLINICAL DIRECTOR
Name	:	JENNIFER HODGES
Credential	:	LCSW-S
Telephone Number	:	512-256-3770

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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