Healthcare Provider Details
I. General information
NPI: 1780516245
Provider Name (Legal Business Name): HAVEN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
912 NE 49TH LN
ANKENY IA
50021-6857
US
IV. Provider business mailing address
912 NE 49TH LN
ANKENY IA
50021-6857
US
V. Phone/Fax
- Phone: 515-664-6619
- Fax:
- Phone: 515-664-6619
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAYLEY
BENSON
Title or Position: OWNER
Credential: LISW
Phone: 515-664-6619