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General NPI Number Information
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NPI Number | 1649066887
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Entity Type | Organization
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Legal Business Name | HAVEN PSYCHIATRY AND WELLNESS, LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 331 BROADWAY STE 102
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City | PROVIDENCE
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State | RI
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Zip | 02909-1101
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Country | US
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Telephone | 401-206-0392
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Fax |
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Provider Business Mailing Address
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Address Line | 94 OVERLOOK DR
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City | EAST GREENWICH
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State | RI
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Zip | 02818-4721
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER, CO-PRESIDENT
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Name | KATHERINE BLISS
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Credential | FNP-C
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Telephone | 774-240-2159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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