Organization
HAVEN BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZAHARA AMOYELLE (MEMBER)
(732) 470-8270
Entity
Organization
Contact information
Practice address
500 NORTH MAIN STREET, FORKED RIVER, NJ 08734-4831
(732) 470-8270
Mailing address
4 GARDEN TER, LAKEWOOD, NJ 08701-3768
(732) 470-8270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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