# KING'S HAVEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396374153
- **Authorized official:** CHARLES MICHAEL KING LMFT (CEO)
- **Authorized official phone:** (385) 230-8942

## Contact information

- **Practice address:** 1470 S 430 W, OREM, UT 84058-7313
- **Practice address phone:** (385) 230-8942
- **Mailing address:** 1470 S 430 W, OREM, UT 84058-7313
- **Mailing address phone:** (385) 230-8942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 04/03/2020