Haven Mind Body Collective, LLC
NPI #1184477507 in Longview, Washington
Provider Information
- NPI Number
- 1184477507
- Entity Type
- Organization
- Organization Name
- Haven Mind Body Collective, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 8, 2024
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 1105 15TH AVE STE F
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3080
- Phone
- (360) 703-6499
Authorized Official
- Name
- AMANDA RENEE HART, CC
- Title
- CERTIFIED COUNSELOR
- Phone
- (360) 562-5509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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