Healthcare Provider Details

I. General information

NPI: 1114707585
Provider Name (Legal Business Name): HAVEN FAMILY RESOURCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N LA CUMBRE RD STE H
SANTA BARBARA CA
93110-2592
US

IV. Provider business mailing address

200 N LA CUMBRE RD STE H
SANTA BARBARA CA
93110-2592
US

V. Phone/Fax

Practice location:
  • Phone: 805-834-2229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SABRINA FREIDENFELDS
Title or Position: FOUNDING DIRECTOR
Credential: MPH, IBCLC, PMH-C
Phone: 805-834-2229