Provider Demographics
NPI:1598509770
Name:CALM HAVEN COUNSELING PLLC
Entity type:Organization
Organization Name:CALM HAVEN COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:
Authorized Official - Last Name:BETO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:320-360-9455
Mailing Address - Street 1:15594 MN-27
Mailing Address - Street 2:STE 4
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-6600
Mailing Address - Country:US
Mailing Address - Phone:320-360-9455
Mailing Address - Fax:
Practice Address - Street 1:15594 MN-27
Practice Address - Street 2:STE 4
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-6600
Practice Address - Country:US
Practice Address - Phone:320-360-9455
Practice Address - Fax:320-316-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health