# M SHANNON ENTERPRISES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healing Haven Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366181539
- **Authorized official:** JOANNE SELL (ADMINISTRATOR)
- **Authorized official phone:** (310) 993-1329

## Contact information

- **Practice address:** 6900 HOUSTON RD STE 12, FLORENCE, KY 41042-4891
- **Practice address phone:** (310) 619-8989
- **Mailing address:** 4375 RIVER RD, HEBRON, KY 41048-9720
- **Mailing address phone:** (310) 619-8989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 06/03/2022
- **Last updated:** 05/26/2023