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General NPI Number Information
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NPI Number | 1144037490
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Entity Type | Organization
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Legal Business Name | HAVEN HEALTH BEHAVIOR CONSULTATION SERVICES LLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2926 OTHAS FIELD DR
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City | NASHVILLE
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State | NC
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Zip | 27856-0029
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Country | US
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Telephone | 252-886-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 2926 OTHAS FIELD DR
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City | NASHVILLE
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State | NC
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Zip | 27856-0029
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Country | US
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Telephone | 252-886-3711
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | SUSANNE STRICKLAND
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Credential |
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Telephone | 252-886-3711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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