Provider Demographics
NPI:1538021464
Name:HOPE HAVEN THERAPY, LLC
Entity type:Organization
Organization Name:HOPE HAVEN THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MMFT, LMFT
Authorized Official - Phone:615-492-9265
Mailing Address - Street 1:2055 N MOUNT JULIET RD STE 204
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4296
Mailing Address - Country:US
Mailing Address - Phone:615-492-9265
Mailing Address - Fax:615-941-2334
Practice Address - Street 1:2055 N MOUNT JULIET RD STE 204
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-4296
Practice Address - Country:US
Practice Address - Phone:615-492-9265
Practice Address - Fax:615-941-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)