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Organization
THE HAVEN MENTAL HEALTH CARE PLLC
Active
Organization
THE HAVEN MENTAL HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON MICHELLE AZEVEDO PMHNP (OWNER)
(731) 260-2944
Entity
Organization
Contact information
Practice address
235 MCADAMS LOOP, JACKS CREEK, TN 38347-1789
(731) 260-2944
Mailing address
235 MCADAMS LOOP, JACKS CREEK, TN 38347-1789
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
03/23/2026
Last updated
03/23/2026
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