Healthcare Provider Details

I. General information

NPI: 1427966647
Provider Name (Legal Business Name): HAVEN TREE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 STONEWOOD DR STE 106D
PLANO TX
75024-5287
US

IV. Provider business mailing address

6300 STONEWOOD DR STE 106D
PLANO TX
75024-5287
US

V. Phone/Fax

Practice location:
  • Phone: 972-696-9614
  • Fax:
Mailing address:
  • Phone: 972-696-9614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARY ANN GALVAN
Title or Position: LPC-A
Credential: LPC-A
Phone: 972-696-9614