Provider Demographics
NPI:1225878804
Name:HAVEN POINT LLC
Entity type:Organization
Organization Name:HAVEN POINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LIMHP, LPC
Authorized Official - Phone:402-674-0774
Mailing Address - Street 1:11711 ARBOR ST STE 240H
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2979
Mailing Address - Country:US
Mailing Address - Phone:402-674-0774
Mailing Address - Fax:402-414-4876
Practice Address - Street 1:11711 ARBOR ST STE 240H
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2979
Practice Address - Country:US
Practice Address - Phone:402-674-0774
Practice Address - Fax:402-414-4876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)