# BLUEBONNET HAVEN, LLC

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

## Provider details

- **NPI number:** 1982446548
- **Authorized official:** RACHEL BLANKENBURG (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (979) 421-0736

## Contact information

- **Practice address:** 4150 HIGHWAY 36 S, BRENHAM, TX 77833-8164
- **Practice address phone:** (979) 347-6662
- **Mailing address:** 4150 HIGHWAY 36 S, BRENHAM, TX 77833-8164
- **Mailing address phone:** (979) 347-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/12/2024