Provider Demographics
NPI:1114731775
Name:HAVEN THERAPY, PLLC
Entity type:Organization
Organization Name:HAVEN THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAYLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DODD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-222-6335
Mailing Address - Street 1:2113 UNION SCHOOL RD SW
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:VA
Mailing Address - Zip Code:24380-5017
Mailing Address - Country:US
Mailing Address - Phone:540-222-6335
Mailing Address - Fax:
Practice Address - Street 1:2113 UNION SCHOOL RD SW
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:VA
Practice Address - Zip Code:24380-5017
Practice Address - Country:US
Practice Address - Phone:540-222-6335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty