Healthcare Provider Details

I. General information

NPI: 1821747502
Provider Name (Legal Business Name): HAVEN BIRTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 06/11/2023
Certification Date: 06/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

574 FRANKLIN RD STE 215
FRANKLIN TN
37069-8214
US

IV. Provider business mailing address

574 FRANKLIN RD STE 215
FRANKLIN TN
37069-8214
US

V. Phone/Fax

Practice location:
  • Phone: 615-436-6236
  • Fax: 615-823-7319
Mailing address:
  • Phone: 615-436-6236
  • Fax: 615-823-7319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN KEATING BURNS
Title or Position: OWNER
Credential:
Phone: 615-436-6235