MEDICARE: HAVEN PROFESSIONAL COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1952907875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAVEN PROFESSIONAL COUNSELING, LLC

Provider Business Mailing Address
First Line	:	199 N WOODBURY RD STE 203A
Second Line	:
City	:	PITMAN
State	:	NJ
Zip	:	08071-1275
Country	:	US
Telephone Number	:	609-833-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	199 N WOODBURY RD STE 201
Second Line	:
City	:	PITMAN
State	:	NJ
Zip	:	08071-1275
Country	:	US
Telephone Number	:	609-388-2188
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH BUSH
Credential	:
Telephone Number	:	609-833-2188

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	04/17/2026

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