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General NPI Number Information
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NPI Number | 1538021464
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Entity Type | Organization
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Legal Business Name | HOPE HAVEN THERAPY, LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2055 N MOUNT JULIET RD STE 204
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City | MT JULIET
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State | TN
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Zip | 37122-4296
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Country | US
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Telephone | 615-492-9265
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Fax | 615-941-2334
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Provider Business Mailing Address
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Address Line | 2055 N MOUNT JULIET RD STE 204
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City | MT JULIET
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State | TN
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Zip | 37122-4296
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Country | US
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Telephone | 615-492-9265
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Fax | 615-941-2334
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | TARYN PETERSON
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Credential | MMFT, LMFT
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Telephone | 615-492-9265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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