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Organization
HAFEN BEHAVIORAL HEALTH LLC
Active
Organization
HAFEN BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE KENNETH HAFEN (CHIEF OPERATING OFFICER)
(385) 485-5354
Entity
Organization
Contact information
Practice address
332 APPLE LEAF AVE, KAYSVILLE, UT 84037-5005
(385) 485-5354
Mailing address
265 N MAIN ST STE D, PMB # 331, KAYSVILLE, UT 84037-1424
(385) 485-5354
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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