MEDICARE: ARRYS HAVEN, LLC

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	103K00000X	Behavior Analyst
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1366048951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARRYS HAVEN, LLC

Provider Business Mailing Address
First Line	:	707 AUDREY LN
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5328
Country	:	US
Telephone Number	:	619-414-4303
Fax Number	:	682-226-6086

Provider Business Practice Location Address
First Line	:	1002 TABASCO TRL
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-3041
Country	:	US
Telephone Number	:	619-414-4303
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DR. OLUWASEYI TAMI YOUNG-HARRY
Credential	:	DHA
Telephone Number	:	619-414-4303

Provider Enumeration Date	:	12/08/2020
Last Update Date	:	12/04/2025

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Directions to “ARRYS HAVEN, LLC ” Practice Location

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