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Healing Haven Inc
Psychiatric/Mental Health Nurse Practitioner in London, Kentucky
NPI 1225755259

Healing Haven Inc is a Psychiatric/Mental Health Nurse Practitioner based in London, KY and is specialized in Psychiatric/Mental Health. Healing Haven Inc practices in London, KY. The NPI Number for Healing Haven Inc is 1225755259 and holds a License No. (Kentucky).

The current practice location address for Healing Haven Inc is 1662 Highway 192 E, London, KY and can be reached out via phone at 606-389-5370.

Location: 1662 Highway 192 E, London, KY, 40741-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225755259
Provider Name
Healing Haven Inc
Credential
Provider Entity Type
Organization
Address
1662 Highway 192 E, London, KY, 40741-1740
Phone Number
606-389-5370
Fax Number
Provider Enumeration Date
10/20/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100869380 05 KY
7100870220 05 KY
institution
Provider Business Practice Location Address Details
Address
1662 Highway 192 E
City
London
State
Kentucky
Zip
40741-3114
Phone Number
606-389-5370
Fax Number
person
Provider Business Mailing Address Details
Address
1662 Highway 192 E
City
London
State
Kentucky
Zip
40741-3114
Phone Number
606-389-5370
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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