Healthcare Provider Details

I. General information

NPI: 1629384292
Provider Name (Legal Business Name): HAVEN BEHAVIORAL SERVICES OF READING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 N 6TH ST
READING PA
19601-3096
US

IV. Provider business mailing address

3102 W END AVE STE 1000
NASHVILLE TN
37203-1324
US

V. Phone/Fax

Practice location:
  • Phone: 610-406-4340
  • Fax: 610-898-7887
Mailing address:
  • Phone: 615-393-8800
  • Fax: 615-982-8123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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
# 3
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number222150
License Number StatePA

VIII. Authorized Official

Name: LAURA TARANTINO
Title or Position: EVP
Credential:
Phone: 972-464-0022