Organization
HAVEN BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GRAY LISW-S (CLINICAL SUPERVISOR)
(419) 973-0368
Entity
Organization
Contact information
Practice address
959 SAINT CLAIR AVE, COLUMBUS, OH 43201-3059
(419) 973-0368
Mailing address
959 SAINT CLAIR AVE, COLUMBUS, OH 43201-3059
(419) 973-0368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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