Organization
HEALING HAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA LYNN LEWIS LPCC (DIRECTOR)
(606) 312-5897
Entity
Organization
Contact information
Practice address
1662 HIGHWAY 192 E, LONDON, KY 40741-3114
(606) 389-5370
Mailing address
103 SYCAMORE ST, LONDON, KY 40741-1740
(606) 312-5897
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100869380
—
KY
05
—
7100870220
—
KY
Enumeration date
10/20/2022
Last updated
02/28/2023
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