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HEALING HAVEN LLC NPI 1790110187


NPI Information

NPI: 1790110187
Provider Name: HEALING HAVEN, LLC

Former Legal Business Name: HEALING HAVEN, PLLC

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
30821 BARRINGTON ST
MADISON HEIGHTS, MI
ZIP 48071
Phone: (734) 355-2833
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HEALING HAVEN, LLC is a developmental disabilities clinic center in Madison Heights, MI. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). HEALING HAVEN, LLC NPI is 1790110187. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Healing Haven, Pllc.

The provider's business location address is:

30821 BARRINGTON ST
MADISON HEIGHTS, MI
ZIP 48071-871
Phone: (734) 355-2833
Fax: (248) 331-9919

The provider's authorized official is Jamie Erin Mcgillivary .
The authorized official title is Owner and has the following contact phone number (734) 355-2833.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 3/17/2018.


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
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-Language PathologistNo
3261QD1600XClinic/CenterDevelopmental Disabilities6301011704MICHIGANYes

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

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