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General NPI Number Information
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NPI Number | 1932851250
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Entity Type | Organization
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Legal Business Name | HAVEN HOLISTIC HEALING, LLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 131 INDIAN LAKE RD STE 102
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3884
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Country | US
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Telephone | 615-589-5339
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Fax |
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Provider Business Mailing Address
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Address Line | 131 INDIAN LAKE RD STE 102
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3884
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Country | US
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Telephone | 615-589-5339
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Fax | 615-265-0798
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALLISON MCDONALD
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Credential | LMFT
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Telephone | 352-342-4074
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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