Inner Haven Wellness Llc
LBN: Inner Haven Wellness Llc
Inner Haven Wellness Llc is an health care organization with primary practice located at 401 Charmany Dr Ste 320 , Madison WI 53719-1270. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Inner Haven Wellness Llc can be contacted via phone (608) 982-0822, or through Acevedo, Vanessa via phone (305) 323-9332.
Contact Information
Primary practice address
401 Charmany Dr Ste 320
Madison WI 53719-1270
Phone: (608) 982-0822
Fax: (608) 982-0842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1225780422 |
|---|---|
| LBN Legal business name | Inner Haven Wellness Llc |
| DBA Doing business as | |
| Authorized official | Acevedo, Vanessa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 19th, 2022 |
| Last updated | Feb 11th, 2026 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225780422 | NPPES |
| Wisconsin | MEDICAID | 100204138 |
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