Organization
HEALING HAVEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
7353 HIGHLAND RD, BATON ROUGE, LA 70808-6641
(888) 490-3319
Mailing address
59555 MYRTLE GROVE DR, PLAQUEMINE, LA 70764-7438
(888) 490-3318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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