=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912796244
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HAVENWOOD HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2025
-----------------------------------------------------
Last Update Date | 09/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 38 HIGHLAND AVE
-----------------------------------------------------
City | BARRINGTON
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02806-4716
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-471-1690
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5600 POST ROAD #114, PMB 311
-----------------------------------------------------
City | EAST GREENWICH
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02818
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-471-1690
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAURA LURIA
-----------------------------------------------------
Credential | MA, CAADC, LCDP
-----------------------------------------------------
Telephone | 401-471-1690
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------