Provider Demographics
NPI:1447724760
Name:HARMONY HAVEN COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:HARMONY HAVEN COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC, LCMHC
Authorized Official - Phone:702-289-7650
Mailing Address - Street 1:645 MAYAN CIR STE A
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-4341
Mailing Address - Country:US
Mailing Address - Phone:702-289-7650
Mailing Address - Fax:
Practice Address - Street 1:645 MAYAN CIR STE A
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-4341
Practice Address - Country:US
Practice Address - Phone:702-289-7650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)