Healthcare Provider Details

I. General information

NPI: 1295608479
Provider Name (Legal Business Name): HAVEN MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 SKYLINE BLVD STE 270
BISMARCK ND
58503-1325
US

IV. Provider business mailing address

1401 SKYLINE BLVD STE 270
BISMARCK ND
58503-1325
US

V. Phone/Fax

Practice location:
  • Phone: 701-751-7500
  • Fax: 701-751-0928
Mailing address:
  • Phone: 701-751-7500
  • Fax: 701-751-0928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY MURREY
Title or Position: CO-OWNER/FNP
Credential:
Phone: 701-751-7500