Haven, Terri

Haven, Terri is an sole proprietor health care provider with primary practice located at 41 Crescent St , West Hartford CT 06119-2104. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haven, Terri can be contacted via phone (413) 221-0546.

Contact Information

Primary practice address
41 Crescent St West Hartford CT 06119-2104
Phone: (413) 221-0546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1029846 Massachusetts

Profile Details

NPI number 1659423945
LBN Legal business name Haven, Terri
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated May 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659423945 NPPES
Massachusetts Other P07445 BCBS PROVIDER NUMBER
Massachusetts MEDICAID 1857266 BCBS PROVIDER NUMBER

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