Organization
HEALING HAVEN ANCILLARY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE MCGILLIVARY (CEO)
(248) 965-3916
Entity
Organization
Contact information
Practice address
30821 BARRINGTON ST, MADISON HTS, MI 48071-1871
(248) 965-3916
Mailing address
30821 BARRINGTON ST, MADISON HTS, MI 48071-1871
(248) 965-3916
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/03/2023
Last updated
01/30/2025
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