THE HAVEN GROUP NPI 1700125036

NPI Information

  • NPI: 1700125036
  • Provider Name: THE HAVEN GROUP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1350 W FULLERTON AVE
    #305
    CHICAGO, IL
    ZIP 60614
  • Phone: (773) 304-6483

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NPI Details

THE HAVEN GROUP is a mental health counselor in Chicago, IL. THE HAVEN GROUP NPI is 1700125036. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1350 W FULLERTON AVE
#305
CHICAGO, IL
ZIP 60614-198
Phone: (773) 304-6483

The provider's authorized official is Amanda B Gordon .
The authorized official title is Co-founder, Therapist, Doula and has the following contact phone number (773) 304-6483.

The enumeration date for this NPI number is 2/6/2013 and was last updated on 2/6/2013.

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
1101YM0800XCounselorMental Health180.007445ILLINOISYes

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: 11/21/2025

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