Provider Demographics
NPI:1578368601
Name:HAVEN BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:HAVEN BEHAVIORAL HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMO-MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-981-2452
Mailing Address - Street 1:1064 MORNING GLORY DR
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-4314
Mailing Address - Country:US
Mailing Address - Phone:508-981-2452
Mailing Address - Fax:
Practice Address - Street 1:1440 ROCKSIDE RD STE 314
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2749
Practice Address - Country:US
Practice Address - Phone:440-859-0322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty