Haven Mental Wellness Llc
LBN: Haven Mental Wellness Llc
Haven Mental Wellness Llc is an health care organization with primary practice located at 1317 Prominence Ct , Sandpoint ID 83864-5412. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Haven Mental Wellness Llc can be contacted via phone (208) 610-6459, or through Russell, Amanda Louise via phone (208) 610-6459.
Contact Information
Primary practice address
1317 Prominence Ct
Sandpoint ID 83864-5412
Phone: (208) 610-6459
Fax: (208) 610-6459
Website:
Authorized official contact:
Name: Russell, Amanda Louise Licensed Clinical Social Worker (LCSW)
Phone: (208) 610-6459
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1497620116 |
|---|---|
| LBN Legal business name | Haven Mental Wellness Llc |
| DBA Doing business as | |
| Authorized official | Russell, Amanda Louise Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2025 |
| Last updated | Oct 10th, 2025 - about last year |
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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