Healthcare Provider Details

I. General information

NPI: 1093647737
Provider Name (Legal Business Name): CALM HAVEN MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 ROUND ROCK WEST DR STE E202
ROUND ROCK TX
78681-5052
US

IV. Provider business mailing address

555 ROUND ROCK WEST DR STE E202
ROUND ROCK TX
78681-5052
US

V. Phone/Fax

Practice location:
  • Phone: 512-279-9345
  • Fax: 512-233-1711
Mailing address:
  • Phone: 512-279-9345
  • Fax: 512-233-1711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER HODGES
Title or Position: FOUNDER AND CLINICAL DIRECTOR
Credential: LCSW-S
Phone: 512-256-3770