Healthcare Provider Details

I. General information

NPI: 1750244125
Provider Name (Legal Business Name): HEALING HAVEN THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8928 S GENUINE RD
SHEPHERD MI
48883-9300
US

IV. Provider business mailing address

8928 S GENUINE RD
SHEPHERD MI
48883-9300
US

V. Phone/Fax

Practice location:
  • Phone: 989-400-9070
  • Fax:
Mailing address:
  • Phone: 989-400-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AMANDA ROSE SCHANTZ
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LMSW
Phone: 989-400-9070