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Organization
HEART AND HAVEN HEALTH ALLIANCE
Active
Organization
HEART AND HAVEN HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALANDA ROCHELLE NIX (EXECUTIVE DIRECTOR)
(443) 630-1421
Entity
Organization
Contact information
Practice address
12613 QUOTING POET CT, BOWIE, MD 20720-4314
(443) 630-1421
Mailing address
12613 QUOTING POET CT, BOWIE, MD 20720-4314
(443) 630-1421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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