Organization
THE HAVEN COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN HYDER LCPC, LCADC (EXECUTIVE DIRECTOR)
(410) 635-8400
Entity
Organization
Contact information
Practice address
1636 W OLD LIBERTY RD, SUITE 1, ELDERSBURG, MD 21784-9335
(410) 635-8400
(410) 635-8444
Mailing address
1636 W OLD LIBERTY RD, SUITE 1, ELDERSBURG, MD 21784-9335
(410) 635-8400
(410) 635-8444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA046
MD
101YM0800X
Mental Health Counselor
LC0911
MD
101YP1600X
Pastoral Counselor
LC0911
MD
101YP2500X
Professional Counselor
Primary
LC0911
MD
Other
Enumeration date
05/15/2007
Last updated
09/11/2025
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