The Haven Group

LBN: The Haven Group
The Haven Group is an health care organization with primary practice located at 1350 W Fullerton Ave #305, Chicago IL 60614-2198. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. The Haven Group can be contacted via phone (773) 304-6483, or through Gordon, Amanda B via phone (773) 304-6483.

Contact Information

Primary practice address
1350 W Fullerton Ave #305 Chicago IL 60614-2198
Phone: (773) 304-6483
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Amanda B LCPC, CD(DONA)
Phone: (773) 304-6483

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.007445 Illinois

Profile Details

NPI number 1700125036
LBN Legal business name The Haven Group
DBA Doing business as
Authorized official Gordon, Amanda B LCPC, CD(DONA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2013
Last updated Feb 6th, 2013 - about 13 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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