HAVENS OF MINNESOTA LLC NPI 1386352862

NPI Information

  • NPI: 1386352862
  • Provider Name: HAVENS OF MINNESOTA LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • :
  • Address: 1003 CLOQUET AVE STE 117
    CLOQUET, MN
    ZIP 55720
  • Phone: (218) 879-5545

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NPI Details

HAVENS OF MINNESOTA LLC is an addiction (substance use disorder) counselor in Cloquet, MN. HAVENS OF MINNESOTA LLC NPI is 1386352862. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

1003 CLOQUET AVE STE 117
CLOQUET, MN
ZIP 55720-649
Phone: (218) 879-5545

The provider's authorized official is Tedd Herman .
The authorized official title is Ceo and has the following contact phone number (612) 895-4605.

The enumeration date for this NPI number is 11/14/2022 and was last updated on 2/13/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YM0800XCounselorMental HealthNo

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: 3/30/2025

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