NPI | 1144048950 |
---|---|
Doing Business As | MIND HAVEN THERAPY & WELLNESS |
Entity Type | Organization |
Authorized Contact | DELPHINE ASONFAC BURDICK Owner 615-258-5539 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-10-03 |