# MENTAL HAVEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Mental Haven
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124760624
- **Authorized official:** DANEL WHITEHEAD LICSW (OWNER/CLINICAL DIRECTOR)
- **Authorized official phone:** (313) 300-0567

## Contact information

- **Practice address:** 3630 S PERRY ST, MONTGOMERY, AL 36105-2203
- **Practice address phone:** (334) 625-0779
- **Practice address fax:** (334) 888-8599
- **Mailing address:** 3066 ZELDA RD, MONTGOMERY, AL 36106-2651
- **Mailing address phone:** (313) 300-0567
- **Mailing address fax:** (334) 888-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2022
- **Last updated:** 10/10/2023