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General NPI Number Information
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NPI Number | 1730980459
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Entity Type | Organization
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Legal Business Name | HEALING HAVEN PSYCHIATRY LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 7811 CORAL WAY
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 786-205-1506
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Fax |
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Provider Business Mailing Address
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Address Line | 13007 SW 122ND AVE
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City | MIAMI
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State | FL
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Zip | 33186-6240
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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 | OWNER
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Name | BRENDA RIVAS
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Credential | MSN,PMHNP-C
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Telephone | 786-205-1506
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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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