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General NPI Number Information
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NPI Number | 1447198585
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Entity Type | Organization
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Legal Business Name | HAVEN COUNSELING COLLECTIVE
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 3504 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35222-3211
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Country | US
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Telephone | 205-789-0065
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1163
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City | PELHAM
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State | AL
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Zip | 35124-5163
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Country | US
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Telephone | 205-789-0065
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENDRA BUCKLEY
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Credential | LPC
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Telephone | 205-789-0065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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