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General NPI Number Information
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NPI Number | 1881379212
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Entity Type | Organization
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Legal Business Name | HAVEN AND HEALTH CONSULTING GROUP, P.C.
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 4343 CONCOURSE DR STE 150
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City | ANN ARBOR
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State | MI
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Zip | 48108-8672
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Country | US
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Telephone | 734-834-0926
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Fax | 734-345-1013
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Provider Business Mailing Address
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Address Line | 4343 CONCOURSE DR STE 150
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City | ANN ARBOR
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State | MI
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Zip | 48108-8672
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Country | US
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Telephone | 734-834-0926
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Fax | 734-345-1013
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Authorized Official
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Title or Position | FOUNDER, PEDIATRICIAN
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Name | LINDSEY LONG
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Credential | M.D.
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Telephone | 734-834-0926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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