Organization
MINDHAVEN MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HARRISON LCSW (OWNER)
(208) 249-6464
Entity
Organization
Contact information
Practice address
407 N SHERWOOD DR, NAMPA, ID 83651-1865
(208) 249-6464
Mailing address
407 N SHERWOOD DR, NAMPA, ID 83651-1865
(208) 249-6464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
01/20/2024
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