Organization
THE HAVEN PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND OLIVER SIZEMORE LCSW (OWNER)
(850) 684-3059
Entity
Organization
Contact information
Practice address
7552 NAVARRE PKWY UNIT 24, NAVARRE, FL 32566-7308
(850) 684-3059
(850) 684-3060
Mailing address
7552 NAVARRE PKWY UNIT 24, NAVARRE, FL 32566-7308
(850) 684-3059
(850) 684-3060
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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