Healthcare Provider Details

I. General information

NPI: 1881379212
Provider Name (Legal Business Name): HAVEN AND HEALTH CONSULTING GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 CONCOURSE DR STE 150
ANN ARBOR MI
48108-8672
US

IV. Provider business mailing address

4343 CONCOURSE DR STE 150
ANN ARBOR MI
48108-8672
US

V. Phone/Fax

Practice location:
  • Phone: 734-834-0926
  • Fax: 734-345-1013
Mailing address:
  • Phone: 734-834-0926
  • Fax: 734-345-1013

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 Code174400000X
TaxonomySpecialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY LONG
Title or Position: FOUNDER, PEDIATRICIAN
Credential: M.D.
Phone: 734-834-0926