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Organization
HAVENS OF MINNESOTA LLC
Active
Organization
HAVENS OF MINNESOTA LLC
Active
Other names
The Haven in Shakopee
Organization subpart
No
Provider details
NPI number
Authorized official
TEDD HERMAN (CEO)
(612) 895-4605
Entity
Organization
Contact information
Practice address
235 1ST AVE E, SHAKOPEE, MN 55379-1440
(952) 496-3366
Mailing address
2101 WOODDALE DR STE B, WOODBURY, MN 55125-4442
(651) 734-9633
(651) 734-9533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/14/2022
Last updated
02/13/2025
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