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Organization
HOLISTIC HAVEN L.L.C.
Active
Organization
HOLISTIC HAVEN L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL GOODS PMHNP (OWNER)
(773) 923-3103
Entity
Organization
Contact information
Practice address
213 W INSTITUTE PL STE 500, CHICAGO, IL 60610-8792
(773) 923-3103
(773) 200-3820
Mailing address
213 W INSTITUTE PL STE 500, CHICAGO, IL 60610-8792
(773) 923-3103
(773) 200-3820
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
03/14/2026
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