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Organization
HAVEN FOCUSED
Active
Organization
HAVEN FOCUSED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TISSIA FAY HENDERSON MSW (PRESIDENT)
(317) 418-5652
Entity
Organization
Contact information
Practice address
11222 TURFGRASS WAY, INDIANAPOLIS, IN 46236-8303
(317) 418-5652
(317) 723-3615
Mailing address
11222 TURFGRASS WAY, INDIANAPOLIS, IN 46236-8303
(317) 418-5652
(317) 723-3615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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