Healthcare Provider Details

I. General information

NPI: 1750224697
Provider Name (Legal Business Name): HAVEN HEALTH SOLUTIONS, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8788 ELK GROVE BLVD BLDG 3
ELK GROVE CA
95624-1766
US

IV. Provider business mailing address

8788 ELK GROVE BLVD BLDG 3
ELK GROVE CA
95624-1766
US

V. Phone/Fax

Practice location:
  • Phone: 916-426-7421
  • Fax: 765-225-5134
Mailing address:
  • Phone: 603-325-5970
  • Fax: 765-225-5134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SELINA LEMAY
Title or Position: OFFICE MANAGER
Credential:
Phone: 603-325-5970