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General NPI Number Information
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NPI Number | 1790659407
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Entity Type | Organization
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Legal Business Name | HAVEN OF HEALING FOR YOUTH & FAMILIES
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 6094 LICKING VALLEY RD
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City | FRAZEYSBURG
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State | OH
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Zip | 43822-9517
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Country | US
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Telephone | 740-265-3126
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Fax | 740-422-1205
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | FRAZEYSBURG
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State | OH
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Zip | 43822-0025
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Country | US
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Telephone | 740-265-3126
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Fax | 740-422-1205
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Authorized Official
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Title or Position | CLINICIAN
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Name | MAGGIE N FRENCH
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Credential | LICSW
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Telephone | 740-265-3126
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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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