Organization
MINDFUL HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA VICTOR (CO-OWNER)
(667) 204-7300
Entity
Organization
Contact information
Practice address
630 CHURCHMANS RD STE 106, NEWARK, DE 19702-1943
(410) 630-8292
Mailing address
200 CONTINENTAL DR STE 401, NEWARK, DE 19713-4337
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/15/2025
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