# HEALING HAVEN, LLC

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

## Provider details

- **NPI number:** 1598352924
- **Authorized official:** JAMIE E MCGILLIVARY (CEO)
- **Authorized official phone:** (248) 965-3916

## Contact information

- **Practice address:** 30821 BARRINGTON ST, MADISON HTS, MI 48071-1871
- **Practice address phone:** (248) 965-3916
- **Practice address fax:** (248) 331-9919
- **Mailing address:** 30821 BARRINGTON ST, MADISON HTS, MI 48071-1871
- **Mailing address phone:** (248) 965-3916
- **Mailing address fax:** (248) 331-9919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2020
- **Last updated:** 12/31/2020