Organization
HOUSE OF HAVEN MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIESHA NICOLE TAYLOR PMHNP (MENTAL HEALTH NURSE PRACTITIONER)
(913) 549-6955
Entity
Organization
Contact information
Practice address
13830 SANTA FE TRAIL DR, LENEXA, KS 66215-3310
(913) 549-6955
Mailing address
13830 SANTA FE TRAIL DR STE 106, LENEXA, KS 66215-3381
(913) 549-6955
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10053913
—
KS
Enumeration date
11/24/2025
Last updated
11/24/2025
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