Organization
INNER HAVEN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ACEVEDO (DIRECTOR OF REVENUE CYCLE)
(305) 323-9332
Entity
Organization
Contact information
Practice address
401 CHARMANY DR STE 320, MADISON, WI 53719-1270
(608) 982-0822
(608) 982-0842
Mailing address
3692 GRAND AVE # 583, MIAMI, FL 33133-4953
(608) 982-0822
(608) 982-0842
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204138
—
WI
Enumeration date
01/19/2022
Last updated
02/11/2026
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