Organization
HAVEN COUNSELING AND WELLNESS
Active
Other names
Haven Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE IMMEDIATO (PRESIDENT)
(352) 519-6991
Entity
Organization
Contact information
Practice address
2609 SW 33RD ST # 101-1, OCALA, FL 34471-7774
(352) 519-6991
Mailing address
2609 SW 33RD ST 101-1, OCALA, FL 34471
(352) 519-6991
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH15408
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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