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General NPI Number Information
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NPI Number | 1548151277
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Entity Type | Organization
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Legal Business Name | HAVEN MENTAL WELLNESS
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 120 FOX HOLLOW DR
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City | CHANHASSEN
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State | MN
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Zip | 55317-9254
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Country | US
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Telephone | 612-735-7602
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Fax |
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Provider Business Mailing Address
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Address Line | 120 FOX HOLLOW DR
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City | CHANHASSEN
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State | MN
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Zip | 55317-9254
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Country | US
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Telephone | 612-735-7602
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANN MARIE FREEMAN
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Credential | MA, LMFT
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Telephone | 612-735-7602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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