Healthcare Provider Details

I. General information

NPI: 1083378756
Provider Name (Legal Business Name): HAVEN MENTAL HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 WHEATFIELD WAY
SALINE MI
48176-1818
US

IV. Provider business mailing address

2725 WHEATFIELD WAY
SALINE MI
48176-1818
US

V. Phone/Fax

Practice location:
  • Phone: 313-408-8483
  • Fax:
Mailing address:
  • Phone: 313-408-8483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: CHANNING FERRER
Title or Position: OWNER
Credential:
Phone: 313-408-8483