Haven Therapy And Wellness Pllc
LBN: Haven Therapy And Wellness Pllc
Haven Therapy And Wellness Pllc is an health care organization with primary practice located at 1623 N Western Ave , Chicago IL 60647-5321. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty.
Haven Therapy And Wellness Pllc can be contacted via phone (312) 248-4660, or through Lane, Samantha via phone (312) 248-4460.
Contact Information
Primary practice address
1623 N Western Ave
Chicago IL 60647-5321
Phone: (312) 248-4660
Fax:
Website:
Authorized official contact:
Name: Lane, Samantha Licensed Clinical Social Worker (LCSW)
Phone: (312) 248-4460
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1699545079 |
|---|---|
| LBN Legal business name | Haven Therapy And Wellness Pllc |
| DBA Doing business as | |
| Authorized official | Lane, Samantha Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2024 |
| Last updated | Jan 5th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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