HAVEN OF THE PHOENIX LLC NPI 1407624620

NPI Information

NPI: 1407624620
Provider Name: HAVEN OF THE PHOENIX LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3717 PINE VILLAGE CT
SPRING, TX
ZIP 77386
Phone: (832) 748-7999
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HAVEN OF THE PHOENIX LLC is a professional counselor in Spring, TX. HAVEN OF THE PHOENIX LLC NPI is 1407624620. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3717 PINE VILLAGE CT
SPRING, TX
ZIP 77386-509
Phone: (832) 748-7999
Fax: (832) 536-5549

The provider's authorized official is Catherine Gentry .
The authorized official title is Owner and has the following contact phone number (832) 748-7999.

The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	101YP2500X	Counselor	Professional	Yes

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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