Provider Demographics
NPI:1790659407
Name:HAVEN OF HEALING FOR YOUTH & FAMILIES
Entity type:Organization
Organization Name:HAVEN OF HEALING FOR YOUTH & FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:740-265-3126
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:FRAZEYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43822-0025
Mailing Address - Country:US
Mailing Address - Phone:740-265-3126
Mailing Address - Fax:740-422-1205
Practice Address - Street 1:6094 LICKING VALLEY RD
Practice Address - Street 2:
Practice Address - City:FRAZEYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43822-9517
Practice Address - Country:US
Practice Address - Phone:740-265-3126
Practice Address - Fax:740-422-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)