Organization
CHILDREN'S HAVEN COUNSELING SERVICES
Active
Organization
CHILDREN'S HAVEN COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MONICA LYNN RANDOLPH AUVENSHINE MA, LPC (LICENSED PROFESSIONAL COUNSELOR/OWN)
(817) 446-5591
Entity
Organization
Contact information
Practice address
4200 SOUTH FWY STE 604, FORT WORTH, TX 76115-1402
(817) 446-5591
(817) 446-5591
Mailing address
PO BOX 24511, FORT WORTH, TX 76124-1511
(817) 446-5591
(817) 446-5591
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
19708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659549137
—
TX
Enumeration date
05/06/2008
Last updated
05/06/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up