# FAIRHAVEN FOUNDATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairhaven Counseling, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689722456
- **Authorized official:** DR. COLLIN A MYERS PH.D., PCC (DIRECTOR)
- **Authorized official phone:** (330) 472-3078

## Contact information

- **Practice address:** 117 GUISE PARK DR, MUNROE FALLS, OH 44262-1514
- **Practice address phone:** (330) 472-3078
- **Practice address fax:** (234) 263-6005
- **Mailing address:** 117 GUISE PARK DR, MUNROE FALLS, OH 44262-1514
- **Mailing address phone:** (330) 472-3078
- **Mailing address fax:** (234) 263-6005

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/11/2025