HAVEN HOUSE NPI 1740564525

NPI Information

NPI: 1740564525
Provider Name: HAVEN HOUSE

Doing Business As: SAFE HAVEN COUNSELING

Classification: Registered Nurse - 163WP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
548 N LAKE AVE
PHILLIPS, WI
ZIP 54555
Phone: (715) 339-6453
Get Directions

HAVEN HOUSE is a psychiatric/mental health registered nurse in Phillips, WI. HAVEN HOUSE NPI is 1740564525. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Safe Haven Counseling.

The provider's business location address is:

548 N LAKE AVE
PHILLIPS, WI
ZIP 54555-028
Phone: (715) 339-6453

The provider's authorized official is Pamela Olson .
The authorized official title is Clinical Coordinator and has the following contact phone number (715) 339-6453.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 9/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	57598-30	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42255200	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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