# HAVENNEXUS FAMILY PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1750147971
- **Authorized official:** TOLULOPE ODUYEJO WILLIAMS (OWNER)
- **Authorized official phone:** (386) 334-5657

## Contact information

- **Practice address:** 50 LEANNI WAY UNIT B1, PALM COAST, FL 32137-4754
- **Practice address phone:** (386) 334-5657
- **Mailing address:** 210 S BEACH ST STE 202, DAYTONA BEACH, FL 32114-4430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 06/21/2024