Organization
HAVEN INTERGRATIVE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE J NELSON PH.D, LICSW-PIP, MFT (MEMBER)
(334) 312-6774
Entity
Organization
Contact information
Practice address
4252 CARMICHAEL RD STE 107-108, MONTGOMERY, AL 36106-2804
(334) 356-4960
(334) 356-4961
Mailing address
4252 CARMICHAEL RD STE 107-108, MONTGOMERY, AL 36106-2804
(334) 356-4960
(334) 356-4961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1646C
AL
Other
Enumeration date
07/19/2017
Last updated
09/24/2020
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